# MATTHEW WHITE MD PS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275713299
- **Authorized official:** MATTHEW WHITE (OWNER)
- **Authorized official phone:** (253) 584-1700

## Contact information

- **Practice address:** 5920 100TH ST SW STE 30, LAKEWOOD, WA 98499-2751
- **Practice address phone:** (253) 584-1700
- **Practice address fax:** (253) 581-1740
- **Mailing address:** 5920 100TH ST SW STE 30, LAKEWOOD, WA 98499-2751
- **Mailing address phone:** (253) 584-1700
- **Mailing address fax:** (253) 581-1740

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/07/2007
- **Last updated:** 04/13/2011