Individual
JASON MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3707 PROVIDENCE POINT DR SE STE B, ISSAQUAH, WA 98029-6216
(425) 868-9593
(425) 868-6826
Mailing address
4425 ISSAQUAH PINE LAKE RD SE APT A22, SAMMAMISH, WA 98075-5254
(425) 985-4629
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
60458380
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124433636
NPI
WA
Enumeration date
06/23/2014
Last updated
10/03/2019
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