Individual
JULIANNE MARQUET MATTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3927 RUCKER AVE, EVERETT, WA 98201-4833
(425) 339-5422
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00033983
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013800
—
WA
01
—
183580
INTERNAL ID-MOTOR VEHICLE ID
—
05
—
8232167
—
WA
Enumeration date
10/27/2006
Last updated
12/13/2012
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