Individual
JOYCE MARIE KOERBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
210 SE 136TH AVE, VANCOUVER, WA 98684-6930
(360) 944-9889
(360) 944-9686
Mailing address
210 SE 136TH AVE, VANCOUVER, WA 98684-6930
(360) 944-9889
(360) 944-9686
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA153162
OR
363AM0700X
Medical Physician Assistant
Primary
PA60346640
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500633505
—
OR
Enumeration date
11/21/2010
Last updated
05/02/2018
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