Individual
PETER MICHAEL MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2529 NE 139TH ST, VANCOUVER, WA 98686-2719
(360) 882-2778
Mailing address
PO BOX 4825, PORTLAND, OR 97208-4825
(360) 882-2778
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD61384668
WA
208VP0000X
Pain Medicine Physician
Primary
MD61384668
WA
Other
Enumeration date
04/27/2018
Last updated
07/12/2023
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