Individual
MR. JOSHUA B MAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1900 COOKS HILL RD STE A, CENTRALIA, WA 98531-9073
(360) 736-2889
(360) 736-3136
Mailing address
PO BOX 368, OLYMPIA, WA 98507-0368
(360) 491-8439
(360) 491-6328
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA10004811
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8421166
—
WA
Enumeration date
11/07/2006
Last updated
04/23/2026
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