SearchWashington101Y00000X

Matthew Waddell

NPI 1689342719 · on the registry since 2021 · sole proprietor

Practice

Address
1416 Se 7th Way
Battle Ground, WA 98604
Phone
(360) 771-8669

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-09-02

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