Healthcare Provider Details

I. General information

NPI: 1043195407
Provider Name (Legal Business Name): VOYAGE MENTAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2025
Last Update Date: 02/03/2026
Certification Date: 02/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

402 S 2ND AVE
SEQUIM WA
98382-2902
US

IV. Provider business mailing address

402 S 2ND AVE
SEQUIM WA
98382-2902
US

V. Phone/Fax

Practice location:
  • Phone: 605-593-2524
  • Fax: 509-715-2115
Mailing address:
  • Phone: 605-593-2524
  • Fax: 509-715-2115

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name: JANE COX
Title or Position: OFFICE MANAGER
Credential: OFFICE MANAGER
Phone: 949-664-2796