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Search › Idaho › 1041C0700X

Tamra Peterson, LMSW, CADC

NPI 1437785607 · on the registry since 2020

Practice

Address
1246 Yellowstone Ave Bldg F
Pocatello, ID 83201
Phone
(208) 237-9194
Fax
(208) 237-2646
Organisation at this address
Vistec Llc
Clark Family Medicine
Creekside Hospice Inc.
Portneuf Valley Dental
Sleep Better Idaho Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
17

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
101YA0400X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-03-27

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 Idaho