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Organization

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Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL ROBERT MATHIAS NCPS (EXECUTIVE DIRECTOR)
(505) 550-5507
Entity
Organization

Contact information

Practice address
101 6TH AVE S UNIT 414, SEATTLE, WA 98104-2797
(505) 550-5507
Mailing address
2226 EASTLAKE AVE E # 220, SEATTLE, WA 98102-3419
(206) 880-1777
(206) 990-0109

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Enumeration date
05/02/2023
Last updated
12/30/2025
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