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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MATT CHILDS

Active Sole Proprietor

MATT CHILDS is a Supports Brokerage Agency healthcare provider located in NORTH BEND, Washington. NPI 1134717747 is currently active in the NPPES registry. Verify at CMS.

Supports Brokerage Agency · NORTH BEND, WA

Registration Details

NPI Number
1134717747
Provider Type
Individual
Gender
Male
NPI Issued
Jan 8, 2021 (5.6342543170556 yrs)
Last Updated
Jan 8, 2021
License
1031895 (WA)
Sole Proprietor
Yes

Practice Information

Address
1315 11TH CT SW
NORTH BEND, WA, 980457989
Browse WA providers · Browse ZIP 98045
Phone
8122516639
Primary Specialty
Supports Brokerage Agency
251X00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.