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Kourtney Peterson

NPI 1669170544 · on the registry since 2023 · sole proprietor

Practice

Address
500 S 3rd St
Cathlamet, WA 98612
Phone
(253) 720-1496
Organisation at this address
Wahkiakum School District
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-02-20

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