Individual
HEIDI PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
2140 TOMPKINS ST, WEST LINN, OR 97068-2748
(503) 724-3129
Mailing address
2140 TOMPKINS ST, WEST LINN, OR 97068-2748
(503) 724-3129
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12772
OR
235Z00000X
Speech-Language Pathologist
269
AK
235Z00000X
Speech-Language Pathologist
LL60125509
WA
Other
Enumeration date
09/11/2014
Last updated
09/11/2014
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