Individual
MATTHEW R PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4029 NORTHWEST AVE STE 301, BELLINGHAM, WA 98226-9077
(360) 752-0518
(360) 676-2896
Mailing address
4029 NORTHWEST AVE STE 301, BELLINGHAM, WA 98226-9077
(360) 752-0518
(360) 676-2896
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
40970
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021556
—
WA
Enumeration date
10/24/2005
Last updated
02/23/2017
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