Organization Active NPI

Pacific Northwest Family Care

  • Family Medicine Physician
  • Renton, WA
National Provider Identifier
1831674472
Registry record updated Sep 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PACIFIC NORTHWEST FAMILY CARE
Practice address
4300 Talbot Rd S Ste 103
Renton, WA 98055-6238
Phone
(253) 686-1766
NPI assigned
Sep 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Christopher Thomas Matthews, DBA, ARNP, FNP-BC
Title
President/Ceo
Phone
(253) 686-1766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

4300 Talbot Rd S Ste 103
Renton, WA 98055-6238

Mailing address

325 Washington Ave S Ste 135
Kent, WA 98032-5767
Phone (206) 582-8186

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1538179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538179200000",
    "number": "1831674472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 WASHINGTON AVE S STE 135",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980325767",
            "telephone_number": "206-582-8186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 TALBOT RD S STE 103",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980556238",
            "telephone_number": "253-686-1766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC NORTHWEST FAMILY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-29",
        "last_updated": "2018-09-29",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "253-686-1766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DBA, ARNP, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.