Individual
PETER T REISSMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
3301 SQUALICUM PKWY, BELLINGHAM, WA 98225-1919
(360) 788-8222
(360) 788-7759
Mailing address
1115 SE 164TH AVE DEPT 358, VANCOUVER, WA 98683-8004
(360) 729-1462
(360) 729-3104
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
143046
AK
207R00000X
Internal Medicine Physician
MD60827333
WA
207RH0000X
Hematology (Internal Medicine) Physician
143046
AK
207RH0000X
Hematology (Internal Medicine) Physician
MD60827333
WA
207RH0003X
Hematology & Oncology Physician
G57545
CA
207RX0202X
Medical Oncology Physician
143046
AK
207RX0202X
Medical Oncology Physician
Primary
MD60827333
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G575450
—
CA
Enumeration date
06/20/2006
Last updated
12/02/2019
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