Provider Demographics
NPI:1255697298
Name:ELSTON, JOSHUA B (MD)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:B
Last Name:ELSTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5801 SOUNDVIEW DR STE 201
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-2200
Mailing Address - Country:US
Mailing Address - Phone:253-525-4100
Mailing Address - Fax:
Practice Address - Street 1:5801 SOUNDVIEW DR STE 201
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-2200
Practice Address - Country:US
Practice Address - Phone:253-525-4100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-04
Last Update Date:2022-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA609397012086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL025183800Medicaid
FLH99LHOtherBLUE CROSS BLUE SHIELD