Individual provider · Type 1 NPI

Glenn Adam Peterson, PA-C

Physician Assistant · Poulsbo, WA

NPI number 1972031698 Active

Practice location

19835 10th Ave NE Ste B
Poulsbo, WA 98370-7451

Call (360) 779-7011 Map

Mailing address

28595 Gamble Bay Rd NE
Kingston, WA 98346-9503

Other practice locations

  • 412 S. Jackson St., Belleville, IL 62220 · (618) 550-9746
  • 939 Caroline St, Port Angeles, WA 98362-3997 · (360) 417-7000
  • 4500 Memorial Dr, Belleville, IL 62226-5360 · (618) 233-7750

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X085006213 (IL)
Physician Assistant 363A00000XNone listed
Physician Assistant Primary 363A00000XPA61047355 (WA)

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 1972031698

Glenn Adam Peterson, PA-C's National Provider Identifier is 1972031698, issued on May 25, 2017. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Poulsbo, WA. The record was last updated on Jul 21, 2022.