Individual
MATTHEW RAY AUGUSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1660 S COLUMBIAN WAY, VA PUGET SOUND HEALTHCARE CENTER, SEATTLE, WA 98108-1532
(206) 277-1723
Mailing address
1660 S COLUMBIAN WAY, VA PUGET SOUND HEALTH CARE CENTER, SEATTLE, WA 98108-1532
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD60589878
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/12/2012
Last updated
12/15/2015
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