Individual
HALEY MORGAN MAY PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
660 G ST STE A, JACKSONVILLE, OR 97530-3206
(541) 324-8638
Mailing address
660 G ST STE A, JACKSONVILLE, OR 97530-3206
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16558
OR
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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