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General NPI Number Information
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NPI Number | 1053504977
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Entity Type | Individual
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Provider Name | PETER MUENCH D.O.
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Gender | Male
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Dates
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Enumeration Date | 08/23/2007
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 33431 13TH PL S
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City | FEDERAL WAY
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State | WA
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Zip | 98003-6357
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Country | US
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Telephone | 253-874-7634
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Fax | 253-874-7635
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Provider Business Mailing Address
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Address Line | 955 POWELL AVE SW
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City | RENTON
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State | WA
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Zip | 98057-2908
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Country | US
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Telephone | 425-277-1311
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Fax | 425-277-1566
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OP60412924
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DOS-1004
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License Number State | HI
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Taxonomy #3
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | 2022-01197
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License Number State | NC
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