Individual provider · Type 1 NPI

Desiree Petersen

Student in an Organized Health Care Education/Training Program · Auburn, WA

NPI number 1376994780 Active

Practice location

4240 Auburn Way N
Auburn, WA 98002-1311

Call (253) 876-8900 Map

Mailing address

6400 Southcenter Blvd
Tukwila, WA 98188-2547

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1376994780

Desiree Petersen's National Provider Identifier is 1376994780, issued on Jun 27, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Auburn, WA. The record was last updated on Sep 3, 2021.