Individual
DR. RICH J. MATTHIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19020 33RD AVE W, SUITE 210, LYNNWOOD, WA 98036-4746
(425) 563-1500
(425) 563-1501
Mailing address
19020 33RD AVE W, SUITE 210, LYNNWOOD, WA 98036-4746
(425) 563-1500
(425) 563-1374
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD00021639
WA
2085R0202X
Diagnostic Radiology Physician
Primary
MD00021639
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1004137
—
WA
01
—
109456
L&I
WA
01
—
2240480
AETNA
—
01
—
300065977
RAILROAD MEDICARE
—
01
—
351153
L&I-RADIA REST OF WA
WA
01
—
351165
L&I-RADIA KING COUNTY
WA
01
—
351172
L&I-SWEDISH RADIA
WA
01
—
351175
L&I-EVERGREEN RADIA
WA
05
—
8140568
—
WA
01
—
8919498
CRIME VICTIMS
WA
01
—
MA1945
REGENCE
WA
Enumeration date
02/15/2006
Last updated
03/20/2017
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