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MATTHEW L WALD
NPI 1003415779
Student in an Organized Health Care Education/Training Program in Seattle, WA

Active since October 22, 2020
122 16TH AVE E, SEATTLE, WA 98112(206) 302-2700 Get Directions Write a Review

NPPES record last updated: October 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Matthew L Wald NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW L WALD (NPI 1003415779) is an individual student in an organized health care education/training program in Seattle, Washington and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1003415779
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMATTHEW L WALD
Location Address122 16TH AVE ESeattle, WA 98112-5212
Mailing Address6400 Southcenter BlvdTukwila, WA 98188-2547 · (206) 901-2000
Phone(206) 302-2700
Sole ProprietorNo
Enumeration DateOctober 22, 2020
NPPES CertifiedOctober 22, 2020
✔ NPI 1003415779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedCounselorTaxonomy 101Y00000X
122 16TH AVE E, Seattle, WA 98112
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JASON SLADE
Student in an Organized Health Care Education/Training Program
122 16TH AVE E
SEATTLE, WA 98112
King County (206) 302-2700
KYLE S GREGG
Student in an Organized Health Care Education/Training Program
122 16TH AVE E
SEATTLE, WA 98112
King County (206) 302-2800
RYAN E DOMITZ MS
Counselor
122 16TH AVE E
SEATTLE, WA 98112
King County (206) 901-2000
HAYDEN ROBERT FLETCHER
Peer Specialist
122 16TH AVE E
SEATTLE, WA 98112
King County (206) 901-2000
CATHERINE T GREGORY
Student in an Organized Health Care Education/Training Program
122 16TH AVE E
SEATTLE, WA 98112
King County (206) 302-2700
SCOTT JOHNSON
Counselor
122 16TH AVE E
SEATTLE, WA 98112
King County (206) 302-2700
MS. HANNAH LENORA HARRISON MSW
Counselor (Mental Health)
122 16TH AVE E, SOUND MENTAL HEALTH CHN
SEATTLE, WA 98112
King County (206) 302-2700
BENJAMIN H BARNETTE IV
Counselor
122 16TH AVE E
SEATTLE, WA 98112
King County (206) 901-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Wald's NPI number?

The NPI number for Matthew Wald is 1003415779. It was assigned to this individual provider in the NPPES registry on October 22, 2020.

Where is Matthew Wald located?

Matthew Wald practices at 122 16th Ave E, Seattle, WA 98112. The listed phone number is (206) 302-2700.

What is Matthew Wald's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Matthew Wald was last updated on October 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.