Provider Demographics
NPI:1053399568
Name:SIEN, PETER K (MD)
Entity type:Individual
Prefix:
First Name:PETER
Middle Name:K
Last Name:SIEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:163 VALLEYVIEW WAY
Mailing Address - Street 2:
Mailing Address - City:SOUTH SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94080-5553
Mailing Address - Country:US
Mailing Address - Phone:510-410-0188
Mailing Address - Fax:239-931-7385
Practice Address - Street 1:7379 W DESCHUTES AVE STE 100
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-7900
Practice Address - Country:US
Practice Address - Phone:509-987-1800
Practice Address - Fax:509-987-1808
Is Sole Proprietor?:No
Enumeration Date:2006-01-04
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD606981782085R0001X
CAG322672085R0001X
WAME372342085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G322670Medicaid
WA1053399568OtherREGENCE BLUE SHIELD
WA4313432OtherAETNA
CA3620029OtherCIGNA
OR500732059Medicaid
FLP01708893OtherRR MEDICARE
FL4313432OtherAETNA
CACA211033Medicaid
CA1053399568Medicaid
FL4313432OtherAETNA
WA1053399568OtherREGENCE BLUE SHIELD