Provider Demographics
NPI:1447025085
Name:ELLS, JOSIE BETH
Entity type:Individual
Prefix:MRS
First Name:JOSIE
Middle Name:BETH
Last Name:ELLS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5406 NE 107TH AVE
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98662-6167
Mailing Address - Country:US
Mailing Address - Phone:360-896-5156
Mailing Address - Fax:360-883-5561
Practice Address - Street 1:5406 NE 107TH AVE
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98662-6167
Practice Address - Country:US
Practice Address - Phone:360-896-5156
Practice Address - Fax:360-883-5561
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-22
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA602587057343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)