Provider Demographics
NPI:1548768245
Name:SOLBRIG, MATTHEW LEONARD (ND)
Entity Type:Individual
Prefix:
First Name:MATTHEW
Middle Name:LEONARD
Last Name:SOLBRIG
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2630 VIEWCREST AVE
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98203-1461
Mailing Address - Country:US
Mailing Address - Phone:619-957-2670
Mailing Address - Fax:
Practice Address - Street 1:18106 140TH AVE NE STE 102
Practice Address - Street 2:
Practice Address - City:WOODINVILLE
Practice Address - State:WA
Practice Address - Zip Code:98072-4308
Practice Address - Country:US
Practice Address - Phone:425-402-4401
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-28
Last Update Date:2018-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT60781734175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath