Individual
JOSEPH J MATTERN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
915 SHERIDAN ST, SUITE B103, PORT TOWNSEND, WA 98368-2931
(360) 379-8031
(360) 385-0418
Mailing address
915 SHERIDAN ST, SUITE B103, PORT TOWNSEND, WA 98368-2931
(360) 379-8031
(360) 385-0418
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00042614
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7118748
—
WA
01
—
AB39310
MEDICARE RHC
WA
Enumeration date
05/16/2006
Last updated
09/02/2011
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