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

Matthew Vaughn Edward Provost

Individual provider Counselor · NPI 1073292512

Matthew Vaughn Edward Provost is a Counselor in Seattle, Washington. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1700 Airport Way S
Seattle, WA 98134-1618
Phone: (206) 206-4822
Show map & directions

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

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1073292512
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 12, 2023
Last updated in NPPESJuly 12, 2023
Certification dateJuly 12, 2023

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