Individual provider · NPI-1

Dr. Matthew Moses Acosta, MD

Family Medicine · Mount Vernon, WA

NPI number1265019566

StatusActive

Last updated in NPPESNov 5, 2024

Details

NPI: 1265019566
Entity type: Individual (NPI-1)
Name: Dr. Matthew Moses Acosta
Credential: MD
Sex: Male
Sole proprietor: No
Enumeration date: Mar 24, 2021
Certification date: Nov 5, 2024
Last updated: Nov 5, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	MD61441654	WA	Yes

Practice location

901 S 5th St
Mount Vernon, WA 98274-3942

Phone 360-814-7300 · Fax 360-848-4543

Mailing address

1400 E Kincaid St
Mount Vernon, WA 98274-4127

Other practice locations

105 S Apple Blossom Dr
Chelan, WA 98816-8810

Phone 509-682-6000 · Fax 509-682-6296

110 S Apple Blossom Dr
Chelan, WA 98816-8810

Phone 509-682-3300

219 E Johnson Avenue
Chelan, WA 98816-0503

Phone 509-682-8511

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