Traci M Peterson Hougen in Conconully - Specialist

Traci M Peterson Hougen - NPI 1710190426

Traci M Peterson Hougen is a Specialist in Conconully, Washington. Traci M Peterson Hougen practices all healthcare services and medical treatments related to Specialist. The NPI Number for Traci M Peterson Hougen is 1710190426. The last update date is 2007-07-08.

Traci M Peterson Hougen's current location address is Po Box 324, Conconully, Washington. You can contact this provider via phone number 5098265548. The mailing address for Traci M Peterson Hougen is Po Box 324, Conconully, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Traci M Peterson Hougen
Address Po Box 324, Conconully, Washington
Phone Number 5098265548
Fax Number
Sole Proprietor Y
Credentials LMP

NPI Number Detail

NPI Number 1710190426
Provider Enumeration Date 2007-05-08
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 324
City Conconully
State Washington (WA)
Post Code 988190324
Phone Number 5098265548
Fax Number

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No MA00017693
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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FAQs about Traci M Peterson Hougen

What is the unique provider identifier assigned to Traci M Peterson Hougen?

The Traci M Peterson Hougen has been issued the NPI (National Provider Identifier) 1710190426 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Traci M Peterson Hougen is located?

The Traci M Peterson Hougen is situated at the following address: Po Box 324, Conconully, WA, 988190324.

What is Traci M Peterson Hougen's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Traci M Peterson Hougen's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1710190426 to Traci M Peterson Hougen?

The Centers for Medicare & Medicaid Services assigned the 1710190426 to Traci M Peterson Hougen on 2007-05-08.

As of what date was the information regarding Traci M Peterson Hougen, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Traci M Peterson Hougen, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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