Individual
JUSTIN COREY MATSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5901 N LIDGERWOOD ST STE 115, SPOKANE, WA 99208-1122
(509) 838-4651
Mailing address
PO BOX 503, MEDICAL LAKE, WA 99022-0503
(509) 218-5049
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/04/2022
Last updated
05/10/2022
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