Desiree Petersen, is a
Student In An Organized Health Care Education/training Program based in Auburn, Washington. Desiree Petersen is licensed to practice in * (Not Available) (license number ) and her current practice location is
4240 Auburn Way N, Auburn, Washington. She can be reached at her office (for appointments etc.) via phone at
(253) 876-8900.
NPI number for Desiree Petersen is 1376994780 and her current mailing address is 6400 Southcenter Blvd, Tukwila, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376994780.
Healthcare Provider's Profile
Full Name | Desiree Petersen |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 4240 Auburn Way N, Auburn, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1376994780
- Provider Enumeration Date: 06/27/2016
- Last Update Date: 09/03/2021
Medical Identifiers
Medical identifiers for Desiree Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376994780 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Desiree Petersen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Desiree Petersen, 6400 Southcenter Blvd, Tukwila, WA 98188-2547 Ph: (206) 901-2000 | Desiree Petersen, 4240 Auburn Way N, Auburn, WA 98002-1311 Ph: (253) 876-8900 |
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