Linton Petersen

Counselor · Forks, WA

Individual Active NPI

NPI number 1124424957

Practice location

530 Bogachiel Way
Forks, WA 98331-9120
Phone
(360) 374-5011
Fax
(360) 374-6691

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NPI record

NPI
1124424957
Entity type
Individual (Type 1)
Enumeration date
November 5, 2014
Last updated
November 5, 2014
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Counselor Primary 101Y00000X CG60415963 WA

About Linton Petersen

Linton Petersen is a healthcare provider registered in the NPI registry with the primary taxonomy Counselor (code 101Y00000X). The practice location is 530 Bogachiel Way, Forks, WA 98331-9120. The NPI number 1124424957 was assigned on November 5, 2014 and the record was last updated on November 5, 2014.

Linton Petersen lists a license in the registry: #CG60415963 (WA) for Counselor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Linton Petersen?

The NPI number is 1124424957.

What is the phone number of Linton Petersen?

The phone number listed for the practice location is (360) 374-5011.

Where is Linton Petersen located?

530 Bogachiel Way, Forks, WA 98331-9120.

What is the taxonomy code for Linton Petersen?

The primary taxonomy code is 101Y00000X – Counselor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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