Provider Demographics
NPI:1609500156
Name:REIM, JOELI B (PA-C)
Entity type:Individual
Prefix:
First Name:JOELI
Middle Name:B
Last Name:REIM
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:550 GAGE BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-9532
Mailing Address - Country:US
Mailing Address - Phone:509-473-0637
Mailing Address - Fax:509-627-2983
Practice Address - Street 1:875 SWIFT BLVD STE A
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-3513
Practice Address - Country:US
Practice Address - Phone:509-946-1654
Practice Address - Fax:509-943-5652
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-11
Last Update Date:2024-08-28
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Provider Licenses
StateLicense IDTaxonomies
WAPA61486712363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant