Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Iris Havlina Donovan Petersen, MD

Individual provider Pediatrics Physician · NPI 1659868560

Dr. Iris Havlina Donovan Petersen, MD is a Pediatrics Physician in Olympia, Washington. Licensed in Utah and Washington. Registered with an NPI since 2018.

Licensed in
UT, WA
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3434 12th Ave NE
Olympia, WA 98506-5175
Phone: (360) 413-8470
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence MD61140296 (WA)
Pediatrics Physician Taxonomy 208000000X · Licence 11405455-1205 (UT)

Record details

NPI number1659868560
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 16, 2018
Last updated in NPPESAugust 8, 2021
Certification dateAugust 8, 2021

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