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Individual

MATTHEW TIMLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
9040 JACKSON AVE PEDIATRIC CRITICAL CARE DEPT, TACOMA, WA 98431-1100
(253) 968-3066
Mailing address
9040 JACKSON AVE PEDIATRIC CRITICAL CARE DEPT, TACOMA, WA 98431-1100
(253) 968-3066

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
OP60632905
WA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
OP60632905
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
60632905
WA
Enumeration date
04/17/2013
Last updated
12/09/2024
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