Individual
JOLY WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4254 JACKSON HWY, CHEHALIS, WA 98532-8424
(360) 996-6603
(360) 996-6604
Mailing address
2690 NE KRESKY AVE, CHEHALIS, WA 98532-2412
(360) 330-9543
(360) 330-9560
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61566552
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2296463
—
WA
Enumeration date
06/11/2024
Last updated
05/15/2026
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