Individual
JOSEPH PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1717 S J ST # MS 01-125, TACOMA, WA 98405-4933
(253) 552-8690
Mailing address
1717 S J ST # MS 01-125, TACOMA, WA 98405-4933
(253) 552-8690
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
WA
Other
Enumeration date
03/31/2026
Last updated
03/31/2026
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