MEDICARE: MR. MATTHEW G THACHER SR.

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	171000000X	Military Health Care Provider		WA

General Provider Information

NPI Number	:	1811974686
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MATTHEW G THACHER SR.

Provider Business Mailing Address
First Line	:	1519 ALASKAN WAY S
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98134-1102
Country	:	US
Telephone Number	:	206-217-6439
Fax Number	:	206-217-6636

Provider Business Practice Location Address
First Line	:	1519 ALASKAN WAY S
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98134-1102
Country	:	US
Telephone Number	:	206-217-6439
Fax Number	:

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

Provider Enumeration Date	:	12/22/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1336003680 — JUSTIN MICHAEL EDGE
Practice Location Address:

1519 ALASKAN WAY S , USCGC HEALY
SEATTLE, WA
98134-1102

Practice Phone: 239-682-5241
Practice Fax:

1033196845 — DR. ARTURO HERIDA CASTRO MD
Practice Location Address:

1519 ALASKAN WAY S
SEATTLE, WA
98134-1102

Practice Phone: 206-217-6430
Practice Fax: 206-217-6636

1558333203 — U. S. COAST GUARD HEALTH SERVICES/ISC SEATTLE
Practice Location Address:

1519 ALASKAN WAY S
SEATTLE, WA
98134-1102

Practice Phone: 206-217-6436
Practice Fax: 206-217-6636

1336112101 — DR. DARYL KEITH GARVIN PHARMD
Practice Location Address:

1519 ALASKAN WAY S
SEATTLE, WA
98134-1102

Practice Phone: 206-217-6433
Practice Fax: 206-217-6636

1861466070 — MR. KEVIN LEE VANDELAC HS1
Practice Location Address:

1519 ALASKAN WAY S , COMMANDING OFFICER ISC SEATTLE
SEATTLE, WA
98134-1102

Practice Phone: 360-217-6432
Practice Fax: 360-217-6636

1770680530 — US COAST GUARD FINANCE CENTER
Practice Location Address:

1519 ALASKAN WAY S , BLDG 1 RM 249
SEATTLE, WA
98134-1102

Practice Phone: 206-217-6434
Practice Fax: 206-217-6636

Directions to “ MR. MATTHEW G THACHER SR. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.