Individual
JASON R PETERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
135 W MAIN ST, CHEHALIS, WA 98532-4817
(360) 748-6696
(360) 748-0627
Mailing address
135 W MAIN ST, P.O. BOX 1445, CHEHALIS, WA 98532-4817
(360) 748-6696
(360) 748-0627
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN60065920
WA
Other
Enumeration date
03/06/2007
Last updated
09/06/2011
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