Mateo, Melissa Troi
Mateo, Melissa Troi is an individual health care provider with primary practice located at 1515 E Columbia St , Othello WA 99344-1846. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Mateo, Melissa Troi can be contacted via phone (509) 488-5256.Contact Information
Primary practice address
1515 E Columbia St
Othello WA 99344-1846
Phone: (509) 488-5256
Fax: (509) 488-9939
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA61222414 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA61157642 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA61222414 | Washington |
Profile Details
| NPI number | 1235741802 |
|---|---|
| LBN Legal business name | Mateo, Melissa Troi |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2020 |
| Last updated | Dec 6th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235741802 | NPPES |
| Washington | Other | PA61222414 | DOH LICENSE |
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