Peter M. Mikkelsen, M.D.

Emergency Medicine Physician · Pullman, WA

Individual Active NPI

NPI number 1790745792

Practice location

835 SE Bishop Blvd
Pullman, WA 99163-5512
Phone
(509) 336-7388
Fax
(509) 336-7389

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NPI record

NPI
1790745792
Entity type
Individual (Type 1)
Enumeration date
March 24, 2006
Last updated
July 14, 2025
Certified
July 14, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Emergency Medicine Physician Primary 207P00000X MD00042890 WA

About Dr. Mikkelsen

Peter M. Mikkelsen, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Emergency Medicine Physician (code 207P00000X). The practice location is 835 SE Bishop Blvd, Pullman, WA 99163-5512. The NPI number 1790745792 was assigned on March 24, 2006 and the record was last updated on July 14, 2025.

Dr. Mikkelsen lists a license in the registry: #MD00042890 (WA) for Emergency Medicine Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Peter M. Mikkelsen, M.D.?

The NPI number is 1790745792.

What is the phone number of Dr. Mikkelsen?

The phone number listed for the practice location is (509) 336-7388.

Where is Dr. Mikkelsen located?

835 SE Bishop Blvd, Pullman, WA 99163-5512.

What is the taxonomy code for Dr. Mikkelsen?

The primary taxonomy code is 207P00000X – Emergency Medicine Physician.

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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