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

Matthew Lassen, PA-C

Individual provider Physician Assistant · NPI 1932599214

Matthew Lassen, PA-C is a Physician Assistant in Moscow, Idaho. Qualified in 2014, 12 years ago. Practices with Gritman Medical Center Inc, a 27-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
12
Licensed in
ID
In the registry since
2015
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

803 S Main St Ste 120
Moscow, ID 83843-2695
Phone: (509) 444-8888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 2500 W A St Ste 101, Moscow, ID 83843 — (208) 882-0540
  • 719 S Main St, Moscow, ID 83843-3041 — (208) 848-8300
  • 719 S Main St, Moscow, ID 83843-3041 — (208) 848-8300

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-1229 (ID)

Record details

NPI number1932599214
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 26, 2015
Last updated in NPPESApril 29, 2020
Certification dateApril 29, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Gritman Medical Center Inc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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