Individual provider · Type 1 NPI

Matthew Jonathon Rothstrom, PA-C

Surgical Physician Assistant · Edmonds, WA

NPI number 1710461652 Active

Practice location

7320 216th St SW Ste 320
Edmonds, WA 98026-8006

Fax (425) 673-3910

Mailing address

19 Cascade Dr
Walla Walla, WA 99362-2509

Other practice locations

  • 6808 220th St SW Ste 200, Mountlake Terrace, WA 98043-2187 · (425) 967-6480

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X60872146 (WA)

Surgical Physician Assistant: Definition to come...

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About NPI 1710461652

Matthew Jonathon Rothstrom, PA-C's National Provider Identifier is 1710461652, issued on Sep 17, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Edmonds, WA. The record was last updated on Nov 5, 2018.