Active NPI
Pacific Northwest Family Care
- Family Medicine Physician
- Renton, WA
National Provider Identifier
1831674472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 DirectoryNPI 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.