Individual
MATTHEW COREY WOOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
821 SWIFT BLVD, RICHLAND, WA 99352-3513
(509) 606-5040
(509) 946-7253
Mailing address
821 SWIFT BLVD, RICHLAND, WA 99352-3513
(509) 606-5040
(509) 946-7253
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
OA60630396
WA
207XS0117X
Orthopaedic Surgery of the Spine Physician
OA60630396
WA
363A00000X
Physician Assistant
Primary
OA60630396
WA
363A00000X
Physician Assistant
PA60539707
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0449279
LABOR AND INDUSTRIES
WA
05
—
2045068
—
WA
Enumeration date
01/27/2011
Last updated
04/11/2022
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