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Individual

TIM P MATE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1221 MADISON ST, FIRST FLOOR, SEATTLE, WA 98104-3588
(206) 386-2198
(206) 386-3888
Mailing address
1221 MADISON ST, FIRST FLOOR, SEATTLE, WA 98104-3588
(206) 386-2198
(206) 386-3888

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD00017049
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1018662
WA
01
920000433
RAIL ROAD MEDICARE
WA
Enumeration date
07/25/2006
Last updated
03/08/2016
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