Individual
JOEL M DEMING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1740 COOKS HILL RD, CENTRALIA, WA 98531-9071
(503) 362-8385
(503) 362-8435
Mailing address
1793 13TH ST SE, SALEM, OR 97302-2541
(503) 362-8385
(503) 362-8435
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10005313
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8498313
—
WA
Enumeration date
11/08/2007
Last updated
05/30/2023
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