Organization
DERRICK CONSULTING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER DERRICK MD (OWNER)
(415) 596-8017
Entity
Organization
Contact information
Practice address
3216 NE 45TH PL STE 207, SEATTLE, WA 98105-4028
(415) 596-8017
Mailing address
3216 NE 45TH PL STE 207, SEATTLE, WA 98105-4028
(415) 596-8017
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD60138640
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD60138640
WASHINGTON STATE DOH
WA
Enumeration date
06/06/2017
Last updated
07/21/2022
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