Individual provider · Type 1 NPI

Matthew Kneland Tanner, MD, PhD

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

NPI number 1306586359 Active

Practice location

1959 NE Pacific St
Seattle, WA 98195-0001

Call (206) 543-3605 Map

Mailing address

1959 NE Pacific Street Box 356421
Seattle, WA 98195-0001

Specialties and licenses

TaxonomyCodeLicense
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 1306586359

Matthew Kneland Tanner, MD, PhD's National Provider Identifier is 1306586359, issued on Mar 29, 2022. 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 Mar 29, 2022.