MEDICARE: MR. JOSEPH WILMHOFF ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician	AP30007729	WA
2	363LA2200X	Adult Health Nurse Practitioner	AP30007729	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	0300238	OTHER	WA	LABOR AND INDUSTRY

General Provider Information

NPI Number	:	1760631469
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOSEPH WILMHOFF ARNP

Provider Business Mailing Address
First Line	:	3213 EASTLAKE AVE E STE A
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98102-7127
Country	:	US
Telephone Number	:	206-861-8200
Fax Number	:	206-324-1178

Provider Business Practice Location Address
First Line	:	3213 EASTLAKE AVE E STE A
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98102-7127
Country	:	US
Telephone Number	:	206-861-8200
Fax Number	:	206-324-1178

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/17/2008
Last Update Date	:	12/17/2018

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