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

Mr. Della Jill Petrie, 0C00000364

Individual provider Specialist · NPI 1558612275

Mr. Della Jill Petrie, 0C00000364 is a Specialist in Auburn, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2012
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Practice location Address checks out

502 4th St NE
Auburn, WA 98002-5020
Phone: (253) 931-4927
Fax: (253) 931-4742
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 0C 00000364 (WA)

Record details

NPI number1558612275
Entity typeIndividual (Type 1)
GenderFemale
Credentials 0C00000364
Sole proprietorYes
NPI enumeratedSeptember 20, 2012
Last updated in NPPESSeptember 20, 2012

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