Individual
GORDON A MATLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1615 DELAWARE ST, SUITE 100, LONGVIEW, WA 98632-2310
(360) 577-6628
Mailing address
PO BOX 2400, LONGVIEW, WA 98632-8461
(360) 577-6628
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD00017271
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1540608
—
WA
Enumeration date
06/11/2006
Last updated
05/03/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us