Individual
JOSHUA D COLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2529 NE 139TH ST STE 110, VANCOUVER, WA 98686-2719
(360) 882-2778
Mailing address
PO BOX 4825, PORTLAND, OR 97208-4825
(360) 882-2778
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5962
AZ
363A00000X
Physician Assistant
PA195076
OR
363A00000X
Physician Assistant
Primary
PA60555593
WA
Other
Enumeration date
02/04/2015
Last updated
03/29/2023
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