Search › Washington › 111N00000X
Matthew Peterson, D.C
NPI 1508039777 · on the registry since 2008 · sole proprietor
Practice
- Address
- 103 N. 1st Street
Elma, WA 98541 - Phone
- (360) 482-5155
- Fax
- (360) 482-4155
- Organisation at this address
- M & K Etc Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Also registered as
- 111N00000X
- Licence states on file
- WA, UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-06-12
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