Individual
MATTHEW LEE BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
435 W WALNUT ST, NEWPORT, WA 99156-9033
(509) 935-6004
Mailing address
PO BOX 808, CHEWELAH, WA 99109-0808
(509) 935-6004
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MED-PAC-35408
MT
363A00000X
Physician Assistant
Primary
PA60506981
WA
Other
Enumeration date
10/30/2014
Last updated
03/23/2026
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