Individual provider · Type 1 NPI

Matthew L. Wald

Student in an Organized Health Care Education/Training Program · Seattle, WA

NPI number 1003415779 Active

Practice location

122 16th Ave E
Seattle, WA 98112-5212

Call (206) 302-2700 Map

Mailing address

6400 Southcenter Blvd
Tukwila, WA 98188-2547

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003415779

Matthew L. Wald's National Provider Identifier is 1003415779, issued on Oct 22, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Seattle, WA. The record was last updated on Oct 22, 2020.