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Raquelle Petersen
NPI 1659056448 · on the registry since 2023 · sole proprietor
Practice
- Address
- 13129 Se Lincoln St
Portland, OR 97233 - Phone
- (801) 636-6434
Registry record
- Primary taxonomy
- 374J00000X
374J00000X
- Sex
- Female
- Record last updated
- 2023-06-19
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