Individual
DR. PATRICK LEROY MATHIASEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1035 116TH AVE NE, BELLEVUE, WA 98004-4604
(206) 722-0594
(206) 722-4484
Mailing address
2514 S EDMUNDS ST, SEATTLE, WA 98108-2045
(206) 722-0594
(206) 722-4484
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD00025427
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1056142
—
WA
01
—
BM1556109
PEA
WA
Enumeration date
07/13/2006
Last updated
05/30/2013
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