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Search › Washington › 101YA0400X

Donald Petersen, ADDICTION THERAPIST

NPI 1073778049 · on the registry since 2008

Practice

Address
1601 E 4th Plain Blvd
Vancouver, WA 98661
Phone
(360) 696-4061
Fax
(360) 750-5385
Organisation at this address
Portland Vamc
Consumer Voices Are Born
Telecare Mental Health Services Of Washington, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
272

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
101YA0400X
Licence states on file
WA, OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-07-18

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