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Jared M. Petersen, DO
Student in an Organized Health Care Education/Training Program in Richland, Washington
NPI 1285327841

Jared M. Petersen is a Student in an Organized Health Care Education/Training Program based in Richland, WA. Jared M. Petersen practices in Richland, WA and has the professional credentials of DO. The NPI Number for Jared M. Petersen is 1285327841 and holds a License No. OL61438195 (Washington).

The current practice location address for Jared M. Petersen is 940 Northgate Dr, Richland, WA and can be reached out via phone at 509-942-2516 and via fax at 509-942-2527. You can also correspond with Jared M. Petersen through the mailing address at 550 GAGE BLVD STE 101, RICHLAND, WA - 99352-9532 (mailing address contact number: 509-946-4611).

Location: 940 Northgate Dr, Richland, WA, 99352-9532
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285327841
Provider Name
Jared M. Petersen
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
940 Northgate Dr, Richland, WA, 99352-9532
Phone Number
509-942-2516
Fax Number
509-942-2527
Provider Enumeration Date
05/31/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
940 Northgate Dr
City
Richland
State
Washington
Zip
99352-3505
Phone Number
509-942-2516
Fax Number
509-942-2527
person
Provider Business Mailing Address Details
Address
940 Northgate Dr
City
Richland
State
Washington
Zip
99352-3505
Phone Number
509-942-2516
Fax Number
509-942-2527
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
OL61438195 (Washington)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
OL61438195 (Washington)
Definition
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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