Individual
AMY DAWN PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
580 NW OAK AVE, CORVALLIS, OR 97330-1513
(541) 758-6849
Mailing address
580 NW OAK AVE, CORVALLIS, OR 97330-1513
(541) 758-6849
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
31643
OR
Other
Enumeration date
09/14/2007
Last updated
09/14/2007
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