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

Matthew Blacke, MD

Individual provider Family Medicine Physician · NPI 1518220169

Matthew Blacke, MD is a Family Practice in Everett, Washington. Qualified in 2011, 15 years ago. Practices with Optum Care Washington PLLC, a 685-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
15
Licensed in
WA
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3927 Rucker Ave
Everett, WA 98201-4833
Phone: (425) 339-5422
Fax: (425) 339-5444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD60489115 (WA)

Record details

NPI number1518220169
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 19, 2012
Last updated in NPPESJune 16, 2026
Certification dateJune 16, 2026
Mailing address7600 Evergreen Way, Everett, WA 98203-6421

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Optum Care Washington Pllc — 685 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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