Tatiana Lvovna Peterson, MD

NPI #1114070455 in Vancouver, Washington

Provider Information

NPI Number: 1114070455
Entity Type: Individual
Name: Tatiana Lvovna Peterson, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Jan 19, 2007
Last Updated: Jun 3, 2009

Practice Location

Address: 2121 NE 139TH ST
City: Vancouver
State: Washington
ZIP Code: 98686-2316
Phone: (360) 487-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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