Individual provider · Type 1 NPI
Joseph Province, PA
Surgical Physician Assistant · Vancouver, WA
NPI number
1558797365
Active
Practice location
200 NE Mother Joseph Pl Ste 210
Vancouver, WA 98664-3295
Fax (360) 449-1146
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA9107470 (FL) |
| Surgical Physician Assistant | 363AS0400X | PA182241 (OR) |
| Surgical Physician Assistant Primary | 363AS0400X | PA61208141 (WA) |
Surgical Physician Assistant: Definition to come...
2 other providers at this address
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- Mary-Colleen D. Zucconi, P.A.Surgical Physician Assistant Vancouver, WA NPI 1194969717
- Bonnie L. Rosenfeld, P.A.-C.Surgical Physician Assistant Vancouver, WA NPI 1225074990
- Kyle I. Pirtle, P.A.-C.Surgical Physician Assistant Vancouver, WA NPI 1275578742
- Nathan Ambrose, PA-CSurgical Physician Assistant Vancouver, WA NPI 1285229500
- Brian Forrest Boundy, PASurgical Physician Assistant Vancouver, WA NPI 1295325892
About NPI 1558797365
Joseph Province, PA's National Provider Identifier is 1558797365, issued on Sep 25, 2013. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Vancouver, WA. The record was last updated on Oct 28, 2021.