Individual
MATTHEW ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
Mailing address
1100 OLIVE WAY, MS: M4-PA, SEATTLE, WA 98101-1873
(206) 515-5811
(206) 515-5967
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
PA10004680
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1067AN
INDIVIDUAL BLUE SHIELD
WA
05
—
8409336
—
WA
01
—
P00149168
RAIL ROAD MEDICARE
WA
Enumeration date
02/02/2006
Last updated
08/28/2024
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