Individual
MATTHEW JOSEPH CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1700 AIRPORT WAY S, SEATTLE, WA 98134-1618
(206) 223-3644
Mailing address
22026 20TH AVE SE, BOTHELL, WA 98021-4449
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053328187
1053328187
—
Enumeration date
01/03/2023
Last updated
01/05/2024
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