Individual
HEATHER PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4850 SW SCHOLLS FERRY RD STE 201, PORTLAND, OR 97225-1692
(503) 954-2547
Mailing address
4850 SW SCHOLLS FERRY RD STE 201, PORTLAND, OR 97225-1692
(503) 954-2547
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L11145
OR
Other
Enumeration date
12/26/2022
Last updated
12/26/2022
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