NPI 1023312170

Joseph D Mathias

Practitioner Physician Assistant Vancouver, WA

Practice location

Address: 2525 NE 139th St, Vancouver, WA 98686-2719
Phone: (360) 882-2778
Fax: (360) 604-1697
Mailing address: 700 NE 87th Ave, Vancouver, WA 98664-1913

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA 60191202 (WA)

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Registry record

NPI: 1023312170
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Jan 2011
Record last updated: 16 Jul 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.