Individual provider · Type 1 NPI

Tatyana B. Peck, PA-C

Physician Assistant · Bothell, WA

NPI number 1669611380 Active

Practice location

10634 E Riverside Dr, Suite 130
Bothell, WA 98011-3757

Call (425) 806-5021 Map

Fax (425) 486-3949

Mailing address

PO Box 1287
Bothell, WA 98041-1287

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XTA60056707 (WA)
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1669611380

Tatyana B. Peck, PA-C's National Provider Identifier is 1669611380, issued on Feb 19, 2009. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Bothell, WA. The record was last updated on Mar 7, 2025.