Donald E. Petersen in Vancouver - Addiction (substance Use Disorder)
Donald E. Petersen - NPI 1073778049
Donald E. Petersen is a Addiction (substance Use Disorder) in Vancouver, Washington. Donald E. Petersen practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Donald E. Petersen is 1073778049. The last update date is 2008-07-18.
Donald E. Petersen's current location address is 1601 E 4th Plain Blvd, Vancouver, Washington. You can contact this provider via phone number 3606964061 and fax number 3607505385. The mailing address for Donald E. Petersen is 1601 E 4th Plain Blvd, Vancouver, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Donald E. Petersen |
|---|---|
| Address | 1601 E 4th Plain Blvd, Vancouver, Washington |
| Phone Number | 3606964061 |
| Fax Number | 3607505385 |
| Sole Proprietor | N |
| Credentials | ADDICTION |
NPI Number Detail
| NPI Number | 1073778049 |
|---|---|
| Provider Enumeration Date | 2008-07-18 |
| Last Updated Date | 2008-07-18 |
Provider Mailing Address Detail
| Address | 1601 E 4th Plain Blvd |
|---|---|
| City | Vancouver |
| State | Washington (WA) |
| Post Code | 986613753 |
| Phone Number | 3606964061 |
| Fax Number | 3607505385 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | CP00002039 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Donald E. Petersen by the Centers for Medicare & Medicaid Services?
The Donald E. Petersen has been issued the NPI (National Provider Identifier) 1073778049 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Donald E. Petersen?
The Donald E. Petersen is situated at 1601 E 4Th Plain Blvd, in the city of Vancouver, state of WA, with the zip code 986613753.
What is the Donald E. Petersen's specialty and taxonomy code?
The Donald E. Petersen's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 101Ya0400X.
When was the Donald E. Petersen's 1073778049 issued?
The Donald E. Petersen's 1073778049 was issued on 2008-07-18.
As of what date was the information regarding Donald E. Petersen, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Donald E. Petersen, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-07-18.