Healthcare Provider Details

I. General information

NPI: 1437088069
Provider Name (Legal Business Name): MATTHEW ELIAS TSIPRAS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 W GARLAND AVE
SPOKANE WA
99205-2119
US

IV. Provider business mailing address

1321 N CINCINNATI ST APT 4
SPOKANE WA
99202-1973
US

V. Phone/Fax

Practice location:
  • Phone: 509-325-2355
  • Fax:
Mailing address:
  • Phone: 509-251-0141
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: