Provider Demographics
NPI:1558342758
Name:RAAP, JOSEPH (MA)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:
Last Name:RAAP
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:605 NE 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:CAMAS
Mailing Address - State:WA
Mailing Address - Zip Code:98607-2007
Mailing Address - Country:US
Mailing Address - Phone:360-833-0609
Mailing Address - Fax:360-833-0622
Practice Address - Street 1:605 NE 5TH AVE
Practice Address - Street 2:
Practice Address - City:CAMAS
Practice Address - State:WA
Practice Address - Zip Code:98607-2007
Practice Address - Country:US
Practice Address - Phone:360-833-0609
Practice Address - Fax:360-833-0622
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-07
Last Update Date:2011-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALD00001396231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAABO3651Medicare ID - Type Unspecified