Individual
DR. JAMES H PETRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8301 161ST AVE NE STE 108, REDMOND, WA 98052-3858
(425) 485-7985
(425) 483-2375
Mailing address
8301 161ST AVE NE STE 108, REDMOND, WA 98052-3858
(425) 485-7985
(425) 483-2375
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD00035810
WA
207NS0135X
Procedural Dermatology Physician
MD00035810
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
128869
DEPT OF L&I
WA
01
—
53030
DEPT OF L&I GROUP
WA
05
—
7095656
—
WA
05
—
7136443
—
WA
05
—
8228371
—
WA
Enumeration date
08/03/2005
Last updated
07/28/2025
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