JOSEPH PROVINCE


Address: 10000 Se Main St Ste 224, Portland, OR 97216-2469
Phone: 5032616961

JOSEPH PROVINCE (NPI# 1558797365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558797365
Entity Type Individual
Full Name JOSEPH PROVINCE
Credential PA
Practice Address 10000 Se Main St Ste 224
Portland
OR 97216-2469
Mailing Address 10000 Se Main Street
Suite 224
Portland
OR 97216
Practice Telephone 5032616961
Practice Fax Number 5032616959
Mailing Telephone 5032616961
Enumeration Date 2013-09-25
Last Update Date 2018-03-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA182241 OR Physician Assistants & Advanced Practice Nursing Providers
N 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA9107470 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 010158600 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
2531 Cleveland Ave Ste 1, Fort Myers, FL 339014900 2393347000 2393347070

Office Location

Street Address 10000 SE MAIN ST STE 224
City PORTLAND
State OR
Zip Code 97216-2469

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437174489 Andrea J Young Orthopaedic Surgery 10000 Se Main St Ste 224, Portland, OR 97216-2469 2006-07-12
1639688708 Wesley Wenzel Physician Assistant 10000 Se Main St Ste 224, Portland, OR 97216-2469 2017-09-21
1578982567 Elizabeth Gray Lieberman Orthopaedic Surgery 10000 Se Main St Ste 224, Portland, OR 97216-2469 2014-04-07
1003121849 Cory Vernon Carlston Orthopaedic Surgery 10000 Se Main St Ste 224, Portland, OR 97216-2469 2010-08-17
1558533273 Adam Parks Baker Orthopaedic Surgery 10000 Se Main St Ste 224, Portland, OR 97216-2469 2008-04-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316468341 Accident Care Chiropractic and Massage of Salem Clinic/Center 2168 Lancaster Dr. Ne, Portland, OR 97216 2017-06-29
1528508520 Damone Brown Peer Specialist 10209 Se Washington St, Suite D, Portland, OR 97216 2017-02-24
1861937237 Malachai Investments LLC Clinical Medical Laboratory 10,000 Se Main St, Ste 360, Portland, OR 97216 2016-12-21
1881136836 Krista Marie Darnell Occupational Therapy Assistant 1475, Se 100th Avenue, Portland, OR 97216 2016-11-08
1821456559 Sean Kelly Counselor 10564 Se Washington Street, Portland, OR 97216 2016-02-09
1174908321 Phil Bergland Counselor 11220 Se Stark St, Suite 6, Portland, OR 97216 2015-07-29
1134507346 Beth Lopez Massage Therapist 5814 Se Stark Street, Portland, OR 97216 2015-05-08
1982081477 Amelia C Hunt Counselor 10564 Se Washinton Street, Portland, OR 97216 2015-05-04
1073907978 Karen Ta Emergency Medicine 10300 Se Main St, Portland, OR 97216 2015-03-27
1265823298 Laura Catherine Anderson Occupational Therapist 1475 Se 100th Avenue, Portland, OR 97216 2015-02-12
Find all providers in zip 97216

Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922588508 Melanie Grace Mix Physician Assistant 501 N Graham St Ste 420, Portland, OR 97227 2018-08-14
1396250122 Saron Theresa Sufuentes Physician Assistant 578 Nw Marlborough Ave, Portland, OR 97210-3104 2017-12-01
1952775520 Lauren Govier Physician Assistant 501 N Graham St Ste 415, Portland, OR 97227-2006 2015-11-19
1619346368 Ryan Mcmahon Physician Assistant 3415 Ne 20th Ave, Portland, OR 97212-2416 2015-09-23
1881090033 Sanja Bukarac Physician Assistant 20 Buca Run, Portland, ME 04103-1427 2014-11-17
1194130716 Nicole Lessard Physician Assistant 27 Bramhall St, Portland, ME 04102 2014-06-23
1528499910 Elan Kennedy Physician Assistant 3181 Sw Sam Jackson Park Rd., Mail Code L353, Ohsu, Division of Cardiothoracic Surgery, Portland, OR 97239 2013-12-10
1013161405 Lorraine Walburga Gohman Physician Assistant 9155 Sw Barnes Rd Ste 440, Portland, OR 97225-6631 2008-11-11
1841472065 Mandy Melissa Williams Physician Assistant 265 N Broadway, Portland, OR 97227-1800 2007-11-29
1063612455 Donald R Noel Physician Assistant 10101 Se Main St Ste 3008, Portland, OR 97216-2458 2007-07-23
Find all providers in PORTLAND

Competitor

Search similar providers

City PORTLAND
Zip Code 97216

Improve Information

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Dataset Information

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.

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