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Search › Oregon › 225XH1200X

Katherine Petersen, OTR/L

NPI 1861847972 · on the registry since 2016 · sole proprietor

Practice

Address
780 Nw Garden Valley Blvd Ste 310
Roseburg, OR 97471
Phone
(541) 640-7625
Organisation at this address
Icco, Llc
Gentle Breeze, Llc
Valley Opticians Inc.
Monarch Medical Group Llc
Rick'S Medical Supply, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Additional practice sites

  • 1740 Nw Goetz St, Roseburg, OR

Registry record

Primary taxonomy
225XH1200X
225XH1200X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-01-24

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