Individual
DR. PRIYAN PERERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
815 S VASSAULT ST, TACOMA, WA 98465
(253) 444-3427
Mailing address
PO BOX 66657, SEATTLE, WA 98166-0657
(206) 453-1818
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD60536623
WA
208100000X
Physical Medicine & Rehabilitation Physician
MD60536623
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD60536623
STATE LICENSE
WA
Enumeration date
05/06/2009
Last updated
07/28/2020
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