Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dale Ann Petersen, PA-C

Individual provider Physician Assistant · NPI 1740265941

Dale Ann Petersen, PA-C is a Physician Assistant in Spokane, Washington. Qualified in 1996, 30 years ago. Practices with Kaiser Foundation Health Plan of Washington, a 1,519-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
30
Licensed in
WA
In the registry since
2005
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

322 W North River Dr
Spokane, WA 99201-3208
Phone: (509) 324-6464
Fax: (509) 241-2056
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA10003457 (WA)

Record details

NPI number1740265941
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 9, 2005
Last updated in NPPESApril 28, 2021
Certification dateApril 28, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Kaiser Foundation Health Plan Of Washington — 1519 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Spokane