1205056439 NPI number — DR. KATHLEEN MARY MATKOSKI PH.D.

Table of content: DR. KATHLEEN MARY MATKOSKI PH.D. (NPI 1205056439)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205056439 NPI number — DR. KATHLEEN MARY MATKOSKI PH.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MATKOSKI
Provider First Name:
KATHLEEN
Provider Middle Name:
MARY
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PH.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
WETHERBEE
Provider Other First Name:
KATHLEEN
Provider Other Middle Name:
M
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
PH.D.
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1205056439
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
19221 36TH AVENUE W.
Provider Second Line Business Mailing Address:
SUITE 207
Provider Business Mailing Address City Name:
LYNNWOOD
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98036
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
425-744-0890
Provider Business Mailing Address Fax Number:
425-482-1274

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
19221 36TH AVENUE W.
Provider Second Line Business Practice Location Address:
SUITE 207
Provider Business Practice Location Address City Name:
LYNNWOOD
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98036
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
425-744-0890
Provider Business Practice Location Address Fax Number:
425-482-1274
Provider Enumeration Date:
04/30/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103TC0700X , with the licence number:  PY00002407 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 103TC1900X , with the licence number: PY00002407 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1299WE . This is a "REGENCE BLUESHIELD PIN #" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".




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