Individual
KATHY L. MATTERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00020099
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205875473
—
WA
05
—
158397
—
OR
01
—
P01314800
RR MEDICARE
WA
05
—
XPY202742
—
CA
Enumeration date
06/05/2006
Last updated
07/07/2014
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