Individual provider · Type 1 NPI

Peter Fuqua

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

NPI number 1639081615 Active

Practice location

3714 SE 189th Ave
Vancouver, WA 98683-5708

Call (206) 462-5830 Map

Mailing address

753 N 35th St # 208D
Seattle, WA 98103-8870

Specialties and licenses

TaxonomyCodeLicense
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 1639081615

Peter Fuqua's National Provider Identifier is 1639081615, issued on Sep 22, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Vancouver, WA. The record was last updated on Sep 22, 2026.