Individual
MATTHEW WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2009 NE 117TH ST STE 101, VANCOUVER, WA 98686-4022
(866) 323-1905
Mailing address
2009 NE 117TH ST STE 101, VANCOUVER, WA 98686-4022
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
DO214799
OR
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
OP61569545
WA
Other
Enumeration date
03/30/2020
Last updated
08/07/2024
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