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Individual
MR. MATTHEW ADAM PETERSON
Active
Individual
MR. MATTHEW ADAM PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
201143593RN
OR
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
R33126
ND
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN60364923
WA
Other
Enumeration date
12/29/2011
Last updated
06/15/2023
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