Provider Demographics
NPI:1851912067
Name:TOSTI, JAMES PAUL (MA)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:PAUL
Last Name:TOSTI
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 1:30916 NE 29TH WAY
Mailing Address - Street 2:
Mailing Address - City:CAMAS
Mailing Address - State:WA
Mailing Address - Zip Code:98607-8927
Mailing Address - Country:US
Mailing Address - Phone:360-773-5878
Mailing Address - Fax:
Practice Address - Street 1:6204 NE HIGHWAY 99 STE C
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98665-8746
Practice Address - Country:US
Practice Address - Phone:360-576-1600
Practice Address - Fax:360-693-0078
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-28
Last Update Date:2020-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60847986225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAMA60847986OtherSTATE LICENSE