Provider Demographics
NPI:1467437509
Name:CHOE, JOYCE E (MD)
Entity Type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:E
Last Name:CHOE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1506
Mailing Address - Street 2:
Mailing Address - City:CHEHALIS
Mailing Address - State:WA
Mailing Address - Zip Code:98532-0409
Mailing Address - Country:US
Mailing Address - Phone:360-242-3008
Mailing Address - Fax:360-807-7687
Practice Address - Street 1:2205 NE 129TH ST
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98686-3252
Practice Address - Country:US
Practice Address - Phone:360-694-2544
Practice Address - Fax:360-694-1356
Is Sole Proprietor?:No
Enumeration Date:2005-12-13
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA70759207W00000X
WAMD60218175207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID1467437509Medicaid
CAZZZ75843ZMedicaid
WA2013408Medicaid
AK1574635Medicaid
NM00184837Medicaid
MT1467437509Medicaid