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

Mitchell Jay Peterson, MD

Individual provider Family Medicine Physician · NPI 1770526626

Mitchell Jay Peterson, MD is a Family Practice in Seattle, Washington. Graduated from University of Washington School of Medicine in 1991, 35 years ago. Practices with The Polyclinic PLLC, a 366-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
35
Trained at
University of Washington School of Medicine
Licensed in
WA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

9709 3rd Ave NE
Seattle, WA 98115-2062
Phone: (206) 525-5777
Fax: (206) 528-9881
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD00031099 (WA)

Record details

NPI number1770526626
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 14, 2006
Last updated in NPPESJuly 22, 2026
Certification dateJuly 22, 2026

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 1991 (35 years in practice)
Group practice The Polyclinic Pllc — 366 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Seattle