Provider Demographics
NPI:1073753661
Name:ASHBACH, MATTHEW NATHAN (MD)
Entity Type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:NATHAN
Last Name:ASHBACH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3216 NORTON AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98201-4290
Mailing Address - Country:US
Mailing Address - Phone:425-252-0895
Mailing Address - Fax:425-303-8463
Practice Address - Street 1:3216 NORTON AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-4290
Practice Address - Country:US
Practice Address - Phone:425-252-0895
Practice Address - Fax:425-303-8463
Is Sole Proprietor?:No
Enumeration Date:2009-02-23
Last Update Date:2009-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD60048334207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery