PATRICIA J. PETERSON MD
NPI 1992706436
Internal Medicine in Longview, WA

Q: What is Patricia Peterson's NPI number?

The NPI number for Patricia Peterson is 1992706436. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Q: What is Patricia Peterson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Patricia Peterson was last updated on July 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.

Active since August 09, 2005

1615 DELAWARE ST, LONGVIEW, WA 98632(360) 501-3601(360) 501-3648 Get Directions Write a Review

NPPES record last updated: July 30, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Patricia J. Peterson Md NPPES

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

PATRICIA J. PETERSON MD (NPI 1992706436) is an individual internal medicine provider in Longview, Washington, licensed in Washington (MD00017283) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1992706436

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NamePATRICIA J. PETERSONCredential: MD

Location Address1615 DELAWARE STLongview, WA 98632-2367

Mailing AddressPo Box 3002Longview, WA 98632-0302 · (360) 501-3601 · Fax (360) 501-3648

Phone(360) 501-3601

Fax(360) 501-3648

Sole ProprietorNo

Enumeration DateAugust 9, 2005

Last NPPES UpdateJuly 30, 2012

✔ NPI 1992706436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in WA · MD00017283

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1615 DELAWARE ST, Longview, WA 98632

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Other Identifiers 8

Other126459WA · Labor & Ind.

Medicare ID-Type Unspecified8856723WA · Medicare New Pin Number

Medicaid218636OR

Other110194835Rr Medicare

Other8923175WA · Crime Victims

Medicare UPINA54885

Medicare ID-Type Unspecified000700120

Medicaid8239071WA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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