Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Matt Childs

Individual provider Supports Brokerage Agency · NPI 1134717747

Matt Childs is a Supports Brokerage Agency in North Bend, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2021

Practice location Address checks out

1315 11th Ct SW
North Bend, WA 98045-7989
Phone: (812) 251-6639
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Supports Brokerage Agency (primary) Taxonomy 251X00000X · Licence 1031895 (WA)

Record details

NPI number1134717747
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 8, 2021
Last updated in NPPESJanuary 8, 2021
Certification dateJanuary 8, 2021