IndividualActive
Jay Matsen
NPI 1245834100 · Emergency Medical Services (Emergency Medicine) Physician · Forks, WA
Provider details
- NPI number
- 1245834100
- Entity type
- Individual
- Primary specialty
- Emergency Medical Services (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- Yes
- License
- AEMT.ES.61099708 (WA)
Specialties & taxonomies
- Emergency Medical Services (Emergency Medicine) PhysicianPrimary207PE0004XLicense AEMT.ES.61099708 (WA)
Allopathic & Osteopathic Physicians
Practice location
530 Bogachiel Way
Forks, WA 98331-9120
Phone: (253) 851-0116
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 872
Forks, WA 98331-0872
Registry dates
- Enumerated
- 2020-11-22
- Last updated
- 2020-11-22
- Certified
- 2020-11-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.