Individual
JAMIE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1107 7TH ST, OREGON CITY, OR 97045-2407
(503) 319-0248
Mailing address
15951 S BROOK CT, OREGON CITY, OR 97045-7205
(503) 319-0248
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
25379
OR
Other
Enumeration date
10/26/2019
Last updated
10/26/2019
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