=====================================================
General NPI Number Information
=====================================================
NPI Number | 1215884838
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | STREELMAN & JUNG, PLLC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/12/2026
-----------------------------------------------------
Last Update Date | 03/12/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 15610 NE WOODINVILLE DUVALL RD STE 109
-----------------------------------------------------
City | WOODINVILLE
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98072-7069
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 425-287-6082
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3023 80TH AVE SE STE 200
-----------------------------------------------------
City | MERCER ISLAND
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98040-6014
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 206-690-5417
-----------------------------------------------------
Fax | 206-690-5418
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MATTHEW STREELMAN
-----------------------------------------------------
Credential | DDS, MD
-----------------------------------------------------
Telephone | 231-330-3949
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1223S0112X
-----------------------------------------------------
Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------