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NPI Code Detail

MEDICARE: TARIRO MATSIKIRE

MEDICARE:   TARIRO  MATSIKIRE
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner95035501CA
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAP61607537WA
3363LP0808XPsychiatric/Mental Health Nurse PractitionerAP139936TX

General Provider Information

NPI Number : 1144791567
Entity Type Code : Individual
Provider Name (Legal Business Name) : TARIRO MATSIKIRE
Provider Business Mailing Address
First Line : 2457 BREEN LN SW
Second Line :
City : OLYMPIA
State : WA
Zip : 98512-8009
Country : US
Telephone Number : 603-560-8833
Fax Number :
Provider Business Practice Location Address
First Line : 101 ELLIOTT AVE W STE 500
Second Line :
City : SEATTLE
State : WA
Zip : 98119-4292
Country : US
Telephone Number : 603-560-8833
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2018
Last Update Date : 12/08/2025

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Directions to “ TARIRO MATSIKIRE ” Practice Location

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