Individual
JOSEPH D MATHIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2525 NE 139TH ST, VANCOUVER, WA 98686-2719
(360) 882-2778
(360) 604-1697
Mailing address
700 NE 87TH AVE, VANCOUVER, WA 98664-1913
(360) 882-2778
(360) 604-1697
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 60191202
WA
Other
Enumeration date
01/04/2011
Last updated
07/16/2012
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