Individual provider · Type 1 NPI

Matthew G. Thacher Sr.

Military Health Care Provider · Seattle, WA

NPI number 1811974686 Active

Practice location

1519 Alaskan Way S
Seattle, WA 98134-1102

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1811974686

Matthew G. Thacher Sr.'s National Provider Identifier is 1811974686, issued on Dec 22, 2005. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Seattle, WA. The record was last updated on Jul 8, 2007.