Individual
ROY PAUL MATHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1334 TERRY AVE, SEATTLE, WA 98101-2747
(206) 922-6500
Mailing address
10618 NE 155TH PL, BOTHELL, WA 98011-5770
(206) 437-2549
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OP00001488
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0217362
LIWA
WA
01
—
0560MA
BSWA
WA
05
—
8197253
—
WA
Enumeration date
08/29/2006
Last updated
08/12/2021
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