Individual
JOHN WAYNE MATHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
27 100TH AVE NE, BELLEVUE, WA 98004-5629
(425) 455-5850
(425) 990-9482
Mailing address
27 100TH AVE NE, BELLEVUE, WA 98004-5629
(425) 455-5850
(425) 990-9482
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD00017392
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0025651
LABOR AND INDUSTRIES
WA
05
—
1589806
—
WA
Enumeration date
12/06/2006
Last updated
07/08/2007
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