Individual
REGAN PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
296 E 5TH AVE STE 324, EUGENE, OR 97401-2771
(541) 556-5646
(440) 556-5642
Mailing address
PO BOX 10222, EUGENE, OR 97440-2222
(541) 556-5646
(440) 556-5646
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
830
OR
Other
Enumeration date
10/01/2007
Last updated
05/07/2021
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