MEDICARE: DR. MATTHEW SMITH DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	33924	WA

General Provider Information

NPI Number	:	1447285259
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MATTHEW SMITH DC

Provider Business Mailing Address
First Line	:	1818 WESTLAKE AVE N
Second Line	:	STE 330
City	:	SEATTLE
State	:	WA
Zip	:	98109-2707
Country	:	US
Telephone Number	:	206-324-8600
Fax Number	:

Provider Business Practice Location Address
First Line	:	2722 EASTLAKE AVE E
Second Line	:	STE 360
City	:	SEATTLE
State	:	WA
Zip	:	98102-3143
Country	:	US
Telephone Number	:	206-324-8600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	03/08/2017

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Directions to “ DR. MATTHEW SMITH DC” Practice Location

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