Individual
MR. SAM MATHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP, PMHNP
Contact information
Practice address
10634 E RIVERSIDE DR STE 130, BOTHELL, WA 98011-3758
(425) 677-4613
Mailing address
3015 182ND PL SE, BOTHELL, WA 98012-6084
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61421720
WA
Other
Enumeration date
03/28/2023
Last updated
04/06/2026
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