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Individual

TOD C PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
8807 E MILL PLAIN BLVD, VANCOUVER, WA 98664-2532
(360) 605-2350
(360) 991-0010
Mailing address
PO BOX 871327, VANCOUVER, WA 98687-1327
(360) 605-2350
(360) 991-0010

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP60877646
WA

Other

Enumeration date
10/05/2018
Last updated
12/06/2024
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