NPI

Tiffany E Mathis

NPI 1184977530

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Type
Individual
Enumeration date
2012-10-23
Last updated
2012-10-23

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Specialties

Licenses

License WA
60163833

Location

Practice location
15675 Ambaum Blvd SW
City
Burien WA
Postal code
98166-2523
Phone
(206) 433-2413

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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