Individual
MATTHEW B RIVARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
DIVISION OF NEPHROLOGY UNIV OF WASHINGTON, 1959 NE PACIFIC STREET, BOX 356521, SEATTLE, WA 98195-0001
(206) 543-2346
Mailing address
DIVISION OF NEPHROLOGY UNIV OF WASHINGTON, 1959 NE PACIFIC STREET, BOX 356521, SEATTLE, WA 98195-0001
(206) 543-2346
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
60280247
WA
207RN0300X
Nephrology Physician
Primary
60280247
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740717211
—
WA
Enumeration date
06/11/2009
Last updated
08/15/2014
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