Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Matt Childs

Individual provider Supports Brokerage Agency · NPI 1134717747

Matt Childs is a Supports Brokerage Agency in North Bend, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2021

Practice location Address checks out

1315 11th Ct SW
North Bend, WA 98045-7989
Phone: (812) 251-6639
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Supports Brokerage Agency (primary) Taxonomy 251X00000X · Licence 1031895 (WA)

Record details

NPI number1134717747
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 8, 2021
Last updated in NPPESJanuary 8, 2021
Certification dateJanuary 8, 2021
Mailing address1315 11th Ct Sw, North Bend, WA 98045-7989