Individual
DR. TYLER DANIEL PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
200 NE MOTHER JOSEPH PL STE 110, VANCOUVER, WA 98664-3293
(360) 254-6161
(360) 803-0847
Mailing address
200 NE MOTHER JOSEPH PL STE 210, VANCOUVER, WA 98664-3295
(360) 254-6161
(360) 803-0847
Taxonomy
Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
Primary
OP61629112
WA
Other
Enumeration date
04/26/2015
Last updated
11/21/2025
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