Individual
MATTHEW GREGORY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1304 FAWCETT AVE, SUITE 100, TACOMA, WA 98402-1911
(253) 761-4200
(253) 383-3553
Mailing address
PO BOX 1535, TACOMA, WA 98401-1535
(253) 761-4200
(253) 383-3553
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA60113828
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0255097
LNI-TRA PIERCE COUNTY
WA
01
—
0255098
LNI-UNION AVE OPEN MRI
WA
01
—
0350356
LNI-TRA KING COUNTY
WA
01
—
0392051
LNI-DIAGNOSTIC IMAGING NW
WA
05
—
2003472
—
WA
Enumeration date
08/27/2009
Last updated
01/14/2019
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