Provider Demographics
NPI:1295030021
Name:RAFKIND, JOSHUA AARON (PA C)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:AARON
Last Name:RAFKIND
Suffix:
Gender:M
Credentials:PA C
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Mailing Address - Street 1:2913 5TH AVE NE STE 101
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98372-6748
Mailing Address - Country:US
Mailing Address - Phone:855-255-1750
Mailing Address - Fax:855-255-0905
Practice Address - Street 1:5200 MEADOWS RD STE 200
Practice Address - Street 2:
Practice Address - City:LAKE OSWEGO
Practice Address - State:OR
Practice Address - Zip Code:97035-0086
Practice Address - Country:US
Practice Address - Phone:855-255-1750
Practice Address - Fax:855-255-0905
Is Sole Proprietor?:No
Enumeration Date:2011-01-26
Last Update Date:2022-08-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAPA61044159363A00000X
IDPA-2310363A00000X
ORPA 153698363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant