SearchWashington101YM0800X

Roxanne Peterson

NPI 1659603686 · on the registry since 2010 · sole proprietor

Practice

Address
615 Short St
Steilacoom, WA 98388
Phone
(253) 221-6789
Fax
(253) 584-8046

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
163W00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-08-07

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