Basic Information
Provider Information
NPI: 1457854234
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FRANKLAND
FirstName: JOSHUA
MiddleName: JOHN
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 433 E 8TH ST
Address2:  
City: PORT ANGELES
State: WA
PostalCode: 983626219
CountryCode: US
TelephoneNumber: 3605650999
FaxNumber: 3604574841
Practice Location
Address1: 433 E 8TH ST
Address2:  
City: PORT ANGELES
State: WA
PostalCode: 983626219
CountryCode: US
TelephoneNumber: 3605650999
FaxNumber: 3604574841
Other Information
ProviderEnumerationDate: 03/17/2018
LastUpdateDate: 12/06/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/06/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000XMD61148024WAY Allopathic & Osteopathic PhysiciansPediatrics 

No ID Information.


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