Individual
MR. MATTHEW G THACHER SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1519 ALASKAN WAY S, SEATTLE, WA 98134-1102
(206) 217-6439
Mailing address
1519 ALASKAN WAY S, SEATTLE, WA 98134-1102
(206) 217-6439
(206) 217-6636
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
WA
Other
Enumeration date
12/22/2005
Last updated
07/08/2007
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