TOD C PETERSON

VANCOUVER, WA
NPI1841765864
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WA  AP60877646)
Enumeration Date2018-10-05
Last Update Date2024-12-06
Business Address
TOD C PETERSON
8807 E MILL PLAIN BLVD
VANCOUVER, WA 98664-2532
Phone number: 360-605-2350
Mailing Address
TOD C PETERSON
PO BOX 871327
VANCOUVER, WA 98687-1327
Phone number: 360-605-2350
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