Individual
MATTHEW M RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11315 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499-3004
(253) 588-1711
(253) 581-6588
Mailing address
505 S 336TH ST, SUITE 600, FEDERAL WAY, WA 98003-6328
(253) 838-6180
(253) 838-6418
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00021000
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010141112
BSID
ID
01
—
0671RI
BSWA
WA
05
—
288328
—
OR
05
—
8101479
—
WA
05
—
8196776
—
WA
01
—
RI0866
BSWA
WA
Enumeration date
06/12/2006
Last updated
02/22/2008
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