OrganizationActive
Petersen Investments, LLC
NPI 1518504984 · Compounding Pharmacy · Vancouver, WA
Provider details
- NPI number
- 1518504984
- Entity type
- Organization
- Primary specialty
- Compounding PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Kristopher Petersen, Managing Member(360) 261-9040
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
12119 Ne 99th St Ste 2030
Vancouver, WA 98682-2461
Phone: (360) 217-4250
Fax: (360) 230-1919
Street-level locationGet directions
Mailing address
12119 Ne 99th St Ste 2030
Vancouver, WA 98682-2461
Other names (DBA / former)
- Doing business as
- Columbia Compounding
- Doing business as
- Columbia Compounding
Registry dates
- Enumerated
- 2019-12-04
- Last updated
- 2020-02-21
- Certified
- 2020-02-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.