MEDICARE: MATTHEW LOVERIDGE RN

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	163W00000X	Registered Nurse	RN60296941	WA

General Provider Information

NPI Number	:	1144179623
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW LOVERIDGE RN

Provider Business Mailing Address
First Line	:	700 NE 87TH AVE STE 240
Second Line	:
City	:	VANCOUVER
State	:	WA
Zip	:	98664-4896
Country	:	US
Telephone Number	:	360-882-2778
Fax Number	:	360-604-1743

Provider Business Practice Location Address
First Line	:	700 NE 87TH AVE STE 240
Second Line	:
City	:	VANCOUVER
State	:	WA
Zip	:	98664-4896
Country	:	US
Telephone Number	:	360-882-2778
Fax Number	:	360-604-1743

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

Provider Enumeration Date	:	01/27/2026
Last Update Date	:	01/27/2026

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