JOYCE MARIE KOERBER (NPI# 1114229374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114229374 |
| Entity Type | Individual |
| Full Name | JOYCE MARIE KOERBER |
| Credential | PA |
| Practice Address |
210 Se 136th Ave Vancouver WA 98684-6930 |
| Practice Telephone | 3609449889 |
| Practice Fax Number | 3609449686 |
| Mailing Telephone | 3609449889 |
| Mailing Fax Number | 3609449686 |
| Enumeration Date | 2010-11-21 |
| Last Update Date | 2018-05-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA60346640 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA153162 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500633505 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043383912 | Joyce C Koerber | Registered Nurse | 1245 Elm Street, Manchester, NH 03101-1308 | 2006-11-16 |
| Street Address |
210 SE 136TH AVE |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98684-6930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508869546 | Matthew Charles Brouns | Internal Medicine | 210 Se 136th Ave, Vancouver, WA 98684-6930 | 2005-05-23 |
| 1194103176 | Marisa Osorio Gholson | Physician Assistant | 210 Se 136th Ave, Vancouver, WA 98684-6930 | 2015-05-11 |
| 1083991103 | Stephanie Brie Hudson | Physician Assistant | 210 Se 136th Ave, Vancouver, WA 98684-6930 | 2011-11-03 |
| 1851694202 | Tracy Lynn Webb | Physician Assistant | 210 Se 136th Ave, Vancouver, WA 98684-6930 | 2010-12-07 |
| 1942416524 | Nora Jane Bucher | Internal Medicine | 210 Se 136th Ave, Vancouver, WA 98684 | 2007-05-14 |
| 1861567562 | David Peter Cosgrove | Internal Medicine | 210 Se 136th Ave, Vancouver, WA 98684-6930 | 2006-11-21 |
| 1750463485 | Dan Morris Hyder | Pathology | 210 Se 136th Ave, Vancouver, WA 98684-6930 | 2006-10-20 |
| 1104910850 | Toni Lucille Storm-dickerson | Surgery | 210 Se 136th Ave, Vancouver, WA 98684-6930 | 2006-10-03 |
| 1629062542 | Magdolna Solti | Internal Medicine | 210 Se 136th Ave, Vancouver, WA 98684-6930 | 2005-09-07 |
| 1528061181 | David Allen Smith | Internal Medicine | 210 Se 136th Ave, Vancouver, WA 98684-6930 | 2005-05-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285291849 | Pacifica Sylvan Park LLC | Alzheimer Center (Dementia Center) | 2400 Ne 112th Avenue, Vancouver, WA 98684 | 2019-05-20 |
| 1699242826 | Heidi Ericka Jackson | Registered Nurse | 15606 Ne 12th Way, Vancouver, WA 98684 | 2018-10-25 |
| 1477076727 | Brian Benasa Bardeloza | Dentist | 605 Se 164th Ave Ste 103, Vancouver, WA 98684 | 2017-07-19 |
| 1992226062 | Judith Moreno-castro | Massage Therapist | 2501 Ne 138th Ave., #60, Vancouver, WA 98684 | 2017-06-29 |
| 1346790706 | Samuel Joonsang Lee | Registered Nurse | 501 Se 172nd Ave Ste 210, Vancouver, WA 98684 | 2016-10-10 |
| 1912353178 | Cheryl A. Hamilton-jefferson | Counselor | 11818 Se Mill Plain Blvd Ste 311g, Vancouver, WA 98684 | 2016-05-06 |
| 1063866424 | Kim Forgione | Optometrist | 1900 Ne 162nd Ave Ste D103, Vancouver, WA 98684 | 2016-04-21 |
| 1700254257 | Desiree Haggart | Registered Nurse | 406 Se 131st St., Suite A101, Vancouver, WA 98684 | 2015-09-14 |
| 1215318068 | Paige M. King | Behavioral Analyst | 11818 Se Mill Plain Blvd Ste 203, Vancouver, WA 98684 | 2015-06-17 |
| 1417354366 | Amanda Hilkey, Lmp | Massage Therapist | 108 Se 24th Ave, Ste 9, Vancouver, WA 98684 | 2014-11-20 |
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| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982058814 | Nw Interventional Medicine and Orthopedic Rehab Pllc | Physician Assistant | 11802 Ne 65th St., Vancouver, WA 98662 | 2016-04-18 |
| 1194128116 | Kimberlee Tess | Physician Assistant | 13003 Ne 46th St, Vancouver, WA 98682-6465 | 2014-10-04 |
| 1689977852 | Maliheh Razavi | Physician Assistant | 14508 Nw 20th Ave Ste 102, Vancouver, WA 98685 | 2010-12-10 |
| 1093936122 | Dan Lee Osborne | Physician Assistant | 4421 Ne St. Johns Blvd, Suite F, Vancouver, WA 98661-2573 | 2007-05-02 |
| 1629158464 | Joseph No Middle Name Marzucco | Physician Assistant | 406 Se 131st Ave Ste 101, Vancouver, WA 98683-4031 | 2006-10-16 |
| 1124571971 | Rebecca Rowney | Physician Assistant | 2525 Ne 139th St, Vancouver, WA 98686-2719 | 2016-07-28 |
| 1750751285 | Rolando Mendez | Physician Assistant | 100 E 33rd St, Suite 100, Vancouver, WA 98663-2776 | 2015-09-26 |
| 1356734966 | Jeffery Smith | Physician Assistant | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2015-03-07 |
| 1447640347 | Vancouver Chiropractic Group | Physician Assistant | 16821 Se Mcgillivray Blvd, Suite 204, Vancouver, WA 98683-0499 | 2015-01-29 |
| 1689077059 | Aaron Fordice | Physician Assistant | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2014-09-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.