Individual
MATTHEW DEAN MCELVANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4245 ROOSEVELT WAY NE, SEATTLE, WA 98105-6008
(206) 598-4288
Mailing address
401 BICENTENNIAL WAY, SANTA ROSA, CA 95403-2149
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD60270813
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0295301
LABOR & INDUSTRY
WA
05
—
1427260777
—
WA
01
—
MD150679
MEDICAL LICENSE
OR
01
—
MD60270813
MEDICAL LICENSE
WA
Enumeration date
05/07/2007
Last updated
01/11/2022
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