Individual
MATTHEW LIBID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-4292
(203) 768-5053
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(203) 768-5053
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP61444170
WA
Other
Enumeration date
01/19/2021
Last updated
07/31/2025
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