Provider Demographics
NPI:1952433088
Name:PETERS, BRIAN BEVIER (ND)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:BEVIER
Last Name:PETERS
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:509 OLIVE WAY
Mailing Address - Street 2:SUITE 803
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-1720
Mailing Address - Country:US
Mailing Address - Phone:206-769-7545
Mailing Address - Fax:206-749-9111
Practice Address - Street 1:509 OLIVE WAY
Practice Address - Street 2:SUITE 803
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-1720
Practice Address - Country:US
Practice Address - Phone:206-769-7545
Practice Address - Fax:206-749-9111
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT 756175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0185243OtherL&I
WA111785OtherL&I
WA8837PEOtherREGENCE
WA8057MEOtherREGENCE