Individual
MATTHEW ALAN RADEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
11567 CANTERWOOD BLVD NW, GIG HARBOR, WA 98332-5812
(253) 530-2100
Mailing address
505 S 336TH ST STE 600, FEDERAL WAY, WA 98003-5947
(800) 336-8614
(253) 838-6418
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA01269
OR
363AM0700X
Medical Physician Assistant
Primary
PA60178573
WA
Other
Enumeration date
10/01/2007
Last updated
04/11/2013
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