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Individual

DR. MARY JANE PETERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
19742 OLMSTEAD RD NE, AURORA, OR 97002-8712
(503) 678-2338
Mailing address
19742 OLMSTEAD RD NE, AURORA, OR 97002-8712
(503) 678-2338

Taxonomy

Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary

Other

Enumeration date
11/04/2021
Last updated
11/04/2021
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