Individual
DEBORAH ANN PETROTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
22021 SW SHERWOOD BLVD, SHERWOOD, OR 97140-9327
(503) 625-4054
(503) 625-6297
Mailing address
20512 SW ROY ROGERS RD, STE 150, SHERWOOD, OR 97140-9930
(503) 625-4054
(503) 822-5077
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
272963
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
272963
LICENSE
OR
Enumeration date
05/12/2006
Last updated
05/16/2019
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