Individual
MATTHEW S RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OP60645891
WA
207RN0300X
Nephrology Physician
Primary
OP60645891
WA
390200000X
Student in an Organized Health Care Education/Training Program
TL.0007356
CO
Other
Enumeration date
04/15/2014
Last updated
12/02/2020
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