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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

PETER FUQUA
NPI 1639081615
Student in an Organized Health Care Education/Training Program in Vancouver, WA

Active since September 22, 2026
3714 SE 189TH AVE, VANCOUVER, WA 98683(206) 462-5830 Get Directions Write a Review

NPPES record added: September 22, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Peter Fuqua NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PETER FUQUA (NPI 1639081615) is an individual student in an organized health care education/training program in Vancouver, Washington and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1639081615
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NamePETER FUQUA
Location Address3714 SE 189TH AVEVancouver, WA 98683-5708
Mailing Address753 N 35th St # 208dSeattle, WA 98103-8870 · (206) 462-5830
Phone(206) 462-5830
Sole ProprietorNo
Enumeration DateSeptember 22, 2026
NPPES CertifiedSeptember 22, 2026
✔ NPI 1639081615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
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.
3714 SE 189TH AVE, Vancouver, WA 98683
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter Fuqua's NPI number?

The NPI number for Peter Fuqua is 1639081615. It was assigned to this individual provider in the NPPES registry on September 22, 2026.

Where is Peter Fuqua located?

Peter Fuqua practices at 3714 SE 189th Ave, Vancouver, WA 98683. The listed phone number is (206) 462-5830.

What is Peter Fuqua's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Peter Fuqua was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.