Individual
MATTHEW SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1321 COLBY AVE, EVERETT, WA 98201-1665
(425) 404-8227
Mailing address
PO BOX 31001-4110, PASADENA, CA 91110-4114
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60824724
WA
363AS0400X
Surgical Physician Assistant
PA60824724
WA
Other
Enumeration date
12/29/2017
Last updated
05/21/2025
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