Individual
MATTHEW MICHAEL DANGLEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4029 NORTHWEST AVE STE 301, BELLINGHAM, WA 98226-9077
(360) 526-8685
(360) 733-8320
Mailing address
14073 GILMORE AVE, BOW, WA 98232-9296
(702) 339-3450
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61356226
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/31/2021
Last updated
01/10/2025
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