Provider Demographics
NPI:1821896572
Name:MATHESON, MEREDITH S (ICCE, ICBD)
Entity type:Individual
Prefix:MRS
First Name:MEREDITH
Middle Name:S
Last Name:MATHESON
Suffix:
Gender:
Credentials:ICCE, ICBD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7224 REBECCA AVE SE
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98092-7710
Mailing Address - Country:US
Mailing Address - Phone:253-226-5543
Mailing Address - Fax:
Practice Address - Street 1:7224 REBECCA AVE SE
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98092-7710
Practice Address - Country:US
Practice Address - Phone:253-226-5543
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No174400000XOther Service ProvidersSpecialist