Individual
MATTHEW DON-CALVERT ILES-SHIH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD60683434
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033476502
—
WA
01
—
8965901
MEDICARE PIN
WA
Enumeration date
04/20/2012
Last updated
10/26/2017
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