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1710461652
MATTHEW JONATHON ROTHSTROM
EDMONDS, WA
NPI
1710461652
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: WA 60872146)
Enumeration Date
2018-09-17
Last Update Date
2018-11-05
Business Address
MATTHEW JONATHON ROTHSTROM PA-C
7320 216TH ST SW STE 320
EDMONDS, WA 98026-8006
Phone number: 425-673-3900
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Mailing Address
MATTHEW JONATHON ROTHSTROM PA-C
19 CASCADE DR
WALLA WALLA, WA 99362-2509
Phone number: 509-540-8237
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