Individual
PETER THORSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 598-4333
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
60488993
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548536915
—
WA
Enumeration date
03/29/2012
Last updated
07/10/2015
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