Jay D Matsen

Individual provider Emergency Medical Services (Emergency Medicine) Physician · NPI 1245834100

Jay D Matsen is an Emergency Medical Services (Emergency Medicine) Physician in Forks, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in: WA
In the registry since: 2020

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Practice location Address checks out

530 Bogachiel Way
Forks, WA 98331-9120
Phone: (253) 851-0116

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Specialties & licences

Emergency Medical Services (Emergency Medicine) Physician (primary)	Taxonomy 207PE0004X · Licence AEMT.ES.61099708 (WA)

Record details

NPI number	1245834100
Entity type	Individual (Type 1)
Gender	Male
Sole proprietor	Yes
NPI enumerated	November 22, 2020
Last updated in NPPES	November 22, 2020
Certification date	November 22, 2020
Mailing address	Po Box 872, Forks, WA 98331-0872