Individual
MATTHEW BORGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 967-8616
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-0001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/29/2016
Last updated
06/05/2019
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