Individual
DR. JANET P PETERSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
853 NW MONROE AVE, CORVALLIS, OR 97330-6352
(541) 754-1550
(541) 754-0558
Mailing address
2360 SE RYAN ST, CORVALLIS, OR 97333-2031
(541) 758-3448
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6102
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193607
—
OR
Enumeration date
07/20/2005
Last updated
07/08/2007
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