MATTHEW GARY WADDINGHAM CO NPI 1538467329

NPI Information

  • NPI: 1538467329
  • Provider Name: MATTHEW GARY WADDINGHAM, CO
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 34709 9TH AVE S
    SUITE A-100
    FEDERAL WAY, WA
    ZIP 98003
  • Phone: (253) 952-3887

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NPI Details

Matthew Gary Waddingham, CO is a specialist in Federal Way, WA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Matthew Gary Waddingham, CO NPI is 1538467329. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

34709 9TH AVE S
SUITE A-100
FEDERAL WAY, WA
ZIP 98003-722
Phone: (253) 952-3887
Fax: (253) 927-3058

The enumeration date for this NPI number is 3/3/2011 and was last updated on 3/3/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistOI60206377WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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