Individual provider · Type 1 NPI

Joshua Modlin, PA

Student in an Organized Health Care Education/Training Program · Walla Walla, WA

NPI number 1194645911 Active

Practice location

401 W Poplar St
Walla Walla, WA 99362-2846

Mailing address

2328 W Summit Dr
Missoula, MT 59803-2622

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1194645911

Joshua Modlin, PA's National Provider Identifier is 1194645911, issued on Jul 20, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Walla Walla, WA. The record was last updated on Jul 20, 2026.