NPI 1003457466
Jordan Matthew Peterson, DC
Practice location
- Address
- 103 N 1st St, Elma, WA 98541-9854
- Phone
- (360) 482-5155
- Mailing address
- PO Box 656, Elma, WA 98541-0656
Registered specialties
Chiropractor
Primary
Registry record
- NPI
- 1003457466
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 7 Oct 2019
- Record last updated
- 7 Oct 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.