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

Robert Michael Matta

Individual provider Licensed Practical Nurse · NPI 1043002660

Robert Michael Matta is a Licensed Practical Nurse in Lakewood, Washington. Licensed in Washington. Registered with an NPI since 2025.

Licensed in
WA
In the registry since
2025

Practice location Address checks out

9720 S Tacoma Way
Lakewood, WA 98499-4456
Phone: (253) 604-7422
Fax: (253) 302-8493
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence LP61584281 (WA)

Record details

NPI number1043002660
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 20, 2025
Last updated in NPPESMay 20, 2025
Certification dateMay 20, 2025
Mailing addressPo Box 39680, Lakewood, WA 98496-3680

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