Healthcare Provider Details

I. General information

NPI: 1922024462
Provider Name (Legal Business Name): PETER L WEBB PA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2006
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

840 N 5TH AVE STE 1500
SEQUIM WA
98382-3045
US

IV. Provider business mailing address

PO BOX 24029
SEATTLE WA
98124-0029
US

V. Phone/Fax

Practice location:
  • Phone: 360-565-0999
  • Fax: 360-565-9251
Mailing address:
  • Phone: 360-565-0999
  • Fax: 360-565-9251

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: