Individual
RICHARD N MATTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16528 DESMET CT, SPOKANE VALLEY, WA 99216-3522
(509) 944-8910
(509) 227-7070
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(866) 747-2455
(509) 227-7070
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
M-9219
ID
207Q00000X
Family Medicine Physician
M-9219
ID
207Q00000X
Family Medicine Physician
Primary
MD00037693
WA
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
MD00037693
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821040247
—
ID
05
—
8252033
—
WA
Enumeration date
05/16/2006
Last updated
05/29/2025
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