SearchOregon171100000X

Mary Ann Petersen, LAC

NPI 1700062379 · on the registry since 2008 · sole proprietor

Practice

Address
1048 E 25th Ave
Eugene, OR 97405
Phone
(541) 844-5520

Registry record

Primary taxonomy
171100000X
171100000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-01-14

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