Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Joseph Province, PA

Individual provider Surgical Physician Assistant · NPI 1558797365

Joseph Province, PA is a Physician Assistant in Vancouver, Washington. Qualified in 2013, 13 years ago. Practices with Northwest Surgical Specialists PC, a 117-clinician group and accepts Medicare assignment. Licensed in Florida, Oregon and Washington.

Years since qualifying
13
Licensed in
FL, OR, WA
In the registry since
2013
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

200 NE Mother Joseph Pl Ste 210
Vancouver, WA 98664-3295
Phone: (360) 254-6161
Fax: (360) 449-1146
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA61208141 (WA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA9107470 (FL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA182241 (OR)

Record details

NPI number1558797365
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 25, 2013
Last updated in NPPESOctober 28, 2021
Certification dateOctober 28, 2021
Mailing address200 Ne Mother Joseph Pl Ste 210, Vancouver, WA 98664-3295

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Northwest Surgical Specialists Pc — 117 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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