Provider Demographics
NPI:1598705717
Name:OSETO, MATTHEW CHRISTIAN (MD)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:CHRISTIAN
Last Name:OSETO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12303 NE 130TH LN STE 220
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-3060
Mailing Address - Country:US
Mailing Address - Phone:425-899-6060
Mailing Address - Fax:425-899-6078
Practice Address - Street 1:12303 NE 130TH LN STE 220
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-3060
Practice Address - Country:US
Practice Address - Phone:425-899-6060
Practice Address - Fax:425-899-6078
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2007-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2738207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0058OSOtherREGENCE RIDER #
TXI48551Medicare UPIN
WA867780Medicare PIN