Individual
MS. CINDY L PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3550 SE WOODWARD ST, PORTLAND, OR 97202-1552
(503) 680-3103
Mailing address
3550 SE WOODWARD ST, PORTLAND, OR 97202-1552
(503) 680-3103
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9253793
ASSURANT HEALTH
WA
Enumeration date
04/26/2011
Last updated
04/26/2011
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