NPI 1275083149
Jeremy Peterson
Practice location
- Address
- 1412 140th Pl NE, Bellevue, WA 98007-3915
- Phone
- (425) 747-7892
- Mailing address
- 201 Union Ave SE Unit 204, Renton, WA 98059-5182
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1275083149
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 4 Oct 2016
- Record last updated
- 4 Oct 2016
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.