Individual
MADISON MATYJAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
34509 9TH AVE S STE 204, FEDERAL WAY, WA 98003-8708
(253) 722-6698
(253) 835-5511
Mailing address
34509 9TH AVE S STE 204, FEDERAL WAY, WA 98003-8708
(253) 722-6698
(253) 835-5511
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61401505
WA
363AS0400X
Surgical Physician Assistant
PA61401505
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2250886
—
WA
Enumeration date
07/11/2019
Last updated
11/02/2023
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