Jose Mata

NPI #1346227170 in Monroe, Washington

Provider Information

NPI Number: 1346227170
Entity Type: Individual
Name: Jose Mata
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Enumeration Date: Dec 22, 2005
Last Updated: Nov 17, 2025

Practice Location

Address: 14841 179TH AVE SE STE 210
City: Monroe
State: Washington
ZIP Code: 98272-1127
Phone: (360) 217-1155

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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