Healthcare Provider Details

I. General information

NPI: 1164166971
Provider Name (Legal Business Name): JOSEPH COREY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/27/2022
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1728 W MARINE VIEW DR
EVERETT WA
98201-2094
US

IV. Provider business mailing address

1728 W MARINE VIEW DR
EVERETT WA
98201-2094
US

V. Phone/Fax

Practice location:
  • Phone: 425-339-5453
  • Fax:
Mailing address:
  • Phone: 425-339-5453
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD.MD.70113291
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: