Healthcare Provider Details

I. General information

NPI: 1144970773
Provider Name (Legal Business Name): MATTHEW RYAN SEARS MD, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2022
Last Update Date: 07/14/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16811 SE MCGILLIVRAY BLVD # 101
VANCOUVER WA
98683-3404
US

IV. Provider business mailing address

16811 SE MCGILLIVRAY BLVD # 101
VANCOUVER WA
98683-3404
US

V. Phone/Fax

Practice location:
  • Phone: 360-735-8100
  • Fax: 360-253-1781
Mailing address:
  • Phone: 360-735-8100
  • Fax: 360-253-1781

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD61683578
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: