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Diane Peterson, LMP
NPI 1659629459 · on the registry since 2012
Practice
- Address
- 1530 Bellevue Way Se
Ste C
Bellevue, WA 98004 - Phone
- (425) 785-5608
- Organisation at this address
- Active Spines Inc.
Msd International Llc
Myofunctional Clinic Of Bellevue, PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-08-29
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