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Contact Information

RICHARD N MATTIS, MD
16528 DESMET CT
SPOKANE VALLEY, WA99216-3522
 Phone: 509-944-8910
 Fax: 509-227-7070
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Addiction Medicine

2083A0300X 84 Physician/Preventive Medicine
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for RICHARD N MATTIS · (Male)

NPI Number 1821040247
Status Active
Credentials MD
Entity Individual
Enumeration date 05/16/2006
Last updated 05/29/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • ID License # M-9219
  • WA License # MD00037693
  • ID Medicaid 1821040247
  • WA Medicaid 8252033
Hospital affiliation(s)
  • PROVIDENCE SACRED HEART MEDICAL CENTER - (Acute Care)
    101 WEST 8TH AVENUE
    SPOKANE, WA 99204
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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