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Individual

DR. MICHAEL KATSUTO MATSUNAMI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
301A E PIKE ST, SEATTLE, WA 98122-3609
(206) 464-0472
(206) 464-0572
Mailing address
301A E PIKE ST, SEATTLE, WA 98122-3609
(206) 464-0472
(206) 464-0572

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1499
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
061894
LABOR & INDUSTRY
WA
05
2017119
WA
01
MA0761
REGENCE/BLUE SHIELD
WA
Enumeration date
08/22/2005
Last updated
02/25/2021
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