Individual
MATIAS LUIS COSTA SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 17TH AVE, SEATTLE, WA 98122-5788
(206) 320-2800
Mailing address
1215 DEXTER AVE N APT 202, SEATTLE, WA 98109-3545
(206) 825-3810
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MDFE.FE.61186248
WA
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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