Provider Demographics
NPI:1477594091
Name:COATES, JOSHUA F (PA C)
Entity Type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:F
Last Name:COATES
Suffix:
Gender:M
Credentials:PA C
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Mailing Address - Street 1:505 S 336TH ST
Mailing Address - Street 2:SUITE 600
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-6328
Mailing Address - Country:US
Mailing Address - Phone:253-838-6180
Mailing Address - Fax:253-838-6418
Practice Address - Street 1:888 SWIFT BLVD
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-3514
Practice Address - Country:US
Practice Address - Phone:509-946-4611
Practice Address - Fax:509-942-2757
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2008-03-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WATA10004901207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA4768COOtherBSWA
WA0202681OtherLIWA
WA0218400OtherLIWA
WA8441255Medicaid
WA3785COOtherBSWA
WA8441255Medicaid
WAG8857451Medicare PIN