Individual
MATIAS MASSARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
522 W RIVERSIDE AVE STE 8072, SPOKANE, WA 99201-0580
(206) 350-9411
(206) 207-2587
Mailing address
522 W RIVERSIDE AVE STE 8072, SPOKANE, WA 99201-0580
(206) 350-9411
(206) 207-2587
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61191323
WA
Other
Enumeration date
10/13/2020
Last updated
07/18/2023
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