Provider Demographics
NPI:1316688914
Name:PETERSEN, MORRIGAN PIPER (CPC)
Entity type:Individual
Prefix:
First Name:MORRIGAN
Middle Name:PIPER
Last Name:PETERSEN
Suffix:
Gender:F
Credentials:CPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7600 PACIFIC AVE SE APT 3
Mailing Address - Street 2:
Mailing Address - City:LACEY
Mailing Address - State:WA
Mailing Address - Zip Code:98503-1801
Mailing Address - Country:US
Mailing Address - Phone:360-471-7901
Mailing Address - Fax:
Practice Address - Street 1:1000 CHERRY ST SE
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98501-1433
Practice Address - Country:US
Practice Address - Phone:360-357-2582
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-06
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACG61273200175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist