Healthcare Provider Details

I. General information

NPI: 1457854234
Provider Name (Legal Business Name): JOSHUA JOHN FRANKLAND MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2018
Last Update Date: 12/06/2021
Certification Date: 12/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

433 E 8TH ST
PORT ANGELES WA
98362-6219
US

IV. Provider business mailing address

433 E 8TH ST
PORT ANGELES WA
98362-6219
US

V. Phone/Fax

Practice location:
  • Phone: 360-565-0999
  • Fax: 360-457-4841
Mailing address:
  • Phone: 360-565-0999
  • Fax: 360-457-4841

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD61148024
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: