Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Matthew Jonathon Rothstrom, PA-C

Individual provider Surgical Physician Assistant · NPI 1710461652

Matthew Jonathon Rothstrom, PA-C is a Physician Assistant in Edmonds, Washington. Qualified in 2018, 8 years ago. Practices with Proliance Surgeons Inc P S, a 394-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
8
Licensed in
WA
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

7320 216th St SW Ste 320
Edmonds, WA 98026-8006
Phone: (425) 673-3900
Fax: (425) 673-3910
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6808 220th St Sw Ste 200, Mountlake Terrace, WA 98043-2187 — (425) 967-6480

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 60872146 (WA)

Record details

NPI number1710461652
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 17, 2018
Last updated in NPPESNovember 5, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Proliance Surgeons Inc P S — 394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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