Healthcare Provider Details

I. General information

NPI: 1548361009
Provider Name (Legal Business Name): JOSHUA CW JONES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

939 CAROLINE ST
PORT ANGELES WA
98362-3909
US

IV. Provider business mailing address

939 CAROLINE ST
PORT ANGELES WA
98362-3909
US

V. Phone/Fax

Practice location:
  • Phone: 360-565-9284
  • Fax:
Mailing address:
  • Phone: 360-565-9284
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD60182942
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code2084F0202X
TaxonomyForensic Psychiatry Physician
License NumberMD60182942
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: