Search › Oregon › 171100000X
Jennifer Peterson, LAC
NPI 1639633985 · on the registry since 2019
Practice
- Address
- 39420 Se Gordon Creek Rd
Corbett, OR 97019 - Phone
- (503) 695-2977
- Organisation at this address
- Hai Shan Center Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Also registered as
- 225700000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-01-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon