Individual
NATHAN CHRISTIAN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3124 S 19TH ST STE 220, TACOMA, WA 98405-2433
(253) 301-5072
Mailing address
3124 S 19TH ST STE 220, TACOMA, WA 98405-2433
(253) 301-5072
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
—
WA
363AS0400X
Surgical Physician Assistant
Primary
—
WA
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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