Individual
DAPHNA PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
2250 NW FLANDERS ST STE 201, PORTLAND, OR 97210-5410
(503) 427-1952
(844) 293-3937
Mailing address
3946 SE TAGGART ST, PORTLAND, OR 97202-1659
(503) 750-7537
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L5495
OR
Other
Enumeration date
04/26/2010
Last updated
09/05/2024
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