EZRA JOEL FOSS

CHEHALIS, WA
NPI1073877155
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WA  AP60292813)
Additional Taxonomies163W00000X Registered Nurse
(Licence: WA  RN00174999)
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: WA  RN00174999)
363LF0000X Nurse Practitioner, Family
(Licence: WA  AP60292813)
363LF0000X Nurse Practitioner, Family
(Licence: ID  25237)
Enumeration Date2012-07-03
Last Update Date2023-12-21
Business Address
EZRA JOEL FOSS NP-C
135 W MAIN ST
CHEHALIS, WA 98532-4817
Phone number: 360-748-4339
Mailing Address
EZRA JOEL FOSS NP-C
2428 W REYNOLDS AVE
CENTRALIA, WA 98531-4554
Phone number: 603-330-9044