Tatiana Lvovna Peterson, MD Valid NPI

Individual provider · Internal Medicine Physician · Vancouver, WA

NPI

1114070455

Type

Individual (Type 1)

Primary specialty

Internal Medicine Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207R00000X

License number

MD00042246 (WA)

Sex

Female

Sole proprietor

No

Enumerated

2007-01-19

Last updated

2009-06-03