Individual
JOSHUA D. FITZMAURICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
2500 NE NEFF ROAD, BEND, OR 97701
(541) 706-5911
(541) 706-2645
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60285480
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0296472
L&I
WA
05
—
1962690552
—
WA
Enumeration date
10/09/2007
Last updated
04/20/2020
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