Individual
MATTHEW J HAUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2525 NE 139TH ST STE 280, VANCOUVER, WA 98686
(360) 882-2778
(360) 604-1780
Mailing address
700 NE 87TH AVE, VANCOUVER, WA 98664-4896
(360) 882-2778
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
MD60367839
WA
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
MD153690
OR
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
MD60367839
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2013026
—
WA
Enumeration date
05/28/2008
Last updated
11/12/2019
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