Individual
CHRISTINE L MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
625 9TH AVE STE 210, LONGVIEW, WA 98632-2465
(360) 501-3400
(360) 423-6862
Mailing address
625 9TH AVE STE 210, LONGVIEW, WA 98632-2465
(360) 501-3400
(360) 423-6862
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA10003202
WA
363AS0400X
Surgical Physician Assistant
Primary
PA10003202
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0217051
LABOR & IND.
WA
05
—
8414914
—
WA
01
—
8943478
CRIME VICTIMS
WA
01
—
MA7320
RAILROAD MEDICARE
—
Enumeration date
07/19/2006
Last updated
02/02/2022
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