Individual
MATTHEW THOMAS JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
234511 HWY 101 WEST, PORT ANGELES, WA 98363-2412
(360) 452-6252
(360) 452-6274
Mailing address
121 RESOLUTE LN, PORT LUDLOW, WA 98365-9617
(360) 301-9423
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
60188639
WA
Other
Enumeration date
09/21/2010
Last updated
08/06/2016
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