Search › Washington › 207XX0801X
Tyler Petersen, D.O
NPI 1093102220 · on the registry since 2015
Practice
- Address
- 200 Ne Mother Joseph Pl Ste 110
Vancouver, WA 98664 - Phone
- (360) 254-6161
- Fax
- (360) 803-0847
- Organisation at this address
- Peacehealth
Cascade Heart Ps
Rebound Physical Therapy
Northwest Surgical Specialists Pc
Northwest Surgical Specialists PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 143
Registry record
- Primary taxonomy
- 207XX0801X
207XX0801X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-11-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington