IndividualActive
Jared Petersen, DO
NPI 1285327841 · Student in an Organized Health Care Education/Training Program · Richland, WA
Provider details
- NPI number
- 1285327841
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- OL61438195 (WA)
Specialties & taxonomies
- Student in an Organized Health Care Education/Training ProgramPrimary390200000XLicense OL61438195 (WA)
Student, Health Care
Allopathic & Osteopathic Physicians
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
940 Northgate Dr
Richland, WA 99352-3505
Phone: (509) 942-2516
Fax: (509) 942-2527
Street-level locationGet directions
Mailing address
550 Gage Blvd Ste 101
Richland, WA 99352-9532
Registry dates
- Enumerated
- 2023-05-31
- Last updated
- 2023-05-31
- Certified
- 2023-05-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.