Search › Washington › 172M00000X
Derric Matteson, LMP
NPI 1881919082 · on the registry since 2010 · sole proprietor
Practice
- Address
- 8432 6th Ave Apt 4
Tacoma, WA 98465 - Phone
- (253) 579-8664
Registry record
- Primary taxonomy
- 172M00000X
172M00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-03-30
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