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Individual

MATTHEW STARR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2700 SIMPSON AVE, STE 101, ABERDEEN, WA 98520-4333
(360) 612-0012
(360) 532-0670
Mailing address
COLUMBIA WELLNESS, PO BOX 1847, LONGVIEW, WA 98632-8140
(360) 353-9369
(360) 577-0187

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG61543679
WA
175T00000X
Peer Specialist
Primary
CG61543679
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2281783
WA
Enumeration date
04/15/2024
Last updated
10/03/2024
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