Individual
KATHERINE MARIE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 SE 160TH AVE STE 121, VANCOUVER, WA 98684-8910
(360) 253-3480
Mailing address
12521 NE TIFFANY DR, VANCOUVER, WA 98684-5867
(360) 213-3860
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH6032971
WA
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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