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NPI Code Detail

MEDICARE: CLAIRE PETERSON

MEDICARE:   CLAIRE  PETERSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianWA

General Provider Information

NPI Number : 1245175769
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLAIRE PETERSON
Provider Business Mailing Address
First Line : 3213 W WHEELER ST STE 302
Second Line :
City : SEATTLE
State : WA
Zip : 98199-3245
Country : US
Telephone Number : 206-453-4882
Fax Number : 206-453-5094
Provider Business Practice Location Address
First Line : 601 W 1ST AVE STE 1400
Second Line :
City : SPOKANE
State : WA
Zip : 99201-3813
Country : US
Telephone Number : 206-971-2465
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2026
Last Update Date : 04/21/2026

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Directions to “ CLAIRE PETERSON ” Practice Location

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