Search › Washington › Supports Brokerage Agency
Matt Childs
NPI 1134717747 · on the registry since 2021 · sole proprietor
Practice
- Address
- 1315 11th Ct Sw
North Bend, WA 98045 - Phone
- (812) 251-6639
Registry record
- Primary taxonomy
- Supports Brokerage Agency
251X00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-01-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington