| Doctor Name: | MS. DONNA ANN JOSE |
| NPI Number: | 1427153667 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | AP30003325 |
| Business Practice Address: | 801 Pacific Ave Tillamook, OR - 971413926 |
| Business Phone Number: | 5038423900 |
| Business Fax Number: | |
| Mailing Address: | 801 Pacific Ave, TILLAMOOK |
| State: | OR |
| Postal Code: | 971413926 |
| Phone Number: | 5038423900 |
| Fax Number: | |
| NPI Enumeration Date: | 09/13/2006 |
| NPI Last Update Date: | 10/17/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | AP30003325 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |