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

JAY D MATSEN

Active Sole Proprietor

JAY D MATSEN is a Emergency Medical Services healthcare provider located in FORKS, Washington. NPI 1245834100 is currently active in the NPPES registry. Verify at CMS.

Emergency Medical Services · FORKS, WA

Registration Details

NPI Number
1245834100
Provider Type
Individual
Gender
Male
NPI Issued
Nov 22, 2020 (5.749613968752 yrs)
Last Updated
Nov 22, 2020
License
AEMT.ES.61099708 (WA)
Sole Proprietor
Yes

Practice Information

Address
530 BOGACHIEL WAY
FORKS, WA, 983319120
Browse WA providers · Browse ZIP 98331
Phone
2538510116
Primary Specialty
Emergency Medical Services
207PE0004X
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.