person
Mr. Ryan J Mather, PAC
Surgical Physician Assistant in Bellevue, Washington
NPI 1619912805

Ryan J Mather is a Surgical Physician Assistant based in Seattle, WA and is specialized in Surgical. Ryan J Mather practices in Bellevue, WA and has the professional credentials of PAC. The NPI Number for Ryan J Mather is 1619912805 and holds a License No. PA10004291 (Washington).

The current practice location address for Ryan J Mather is 1231 116Th Ave Ne, Bellevue, WA and can be reached out via phone at 425-455-3600 and via fax at 425-455-3920.

Location: 1231 116Th Ave Ne, Bellevue, WA, 98104-1172
person
Provider Profile Details
NPI Number
1619912805
Provider Name
Ryan J Mather
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
1231 116Th Ave Ne, Bellevue, WA, 98104-1172
Phone Number
425-455-3600
Fax Number
425-455-3920
Provider Enumeration Date
06/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0159543 01 WA L & I
G8861207 01 WA MEDICARE POSM
G8876711 01 WA MEDICARE EMRI
institution
Provider Business Practice Location Address Details
Address
1231 116Th Ave Ne
City
State
Zip
98004-3804
Phone Number
425-455-3600
Fax Number
425-455-3920
person
Provider Business Mailing Address Details
Address
1231 116Th Ave Ne
City
State
Zip
98004-3804
Phone Number
425-455-3600
Fax Number
425-455-3920
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA10004291 (Washington)
Definition
Definition to come...
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