Individual
JAY D MATSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
530 BOGACHIEL WAY, FORKS, WA 98331-9120
(253) 851-0116
Mailing address
PO BOX 872, FORKS, WA 98331-0872
(253) 313-3591
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
AEMT.ES.61099708
WA
Other
Enumeration date
11/22/2020
Last updated
11/22/2020
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