Organization
ROCHELLE PEGEL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROCHELLE ANNE PEGEL PHD (CHILD AND FAMILY THERAPIST)
(503) 235-5138
Entity
Organization
Contact information
Practice address
15000 DAVIS LN APT B18, LAKE OSWEGO, OR 97035-2610
(503) 235-5138
Mailing address
15000 DAVIS LN APT B18, LAKE OSWEGO, OR 97035-2610
(503) 235-5138
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
C1113
OR
Other
Enumeration date
03/04/2013
Last updated
03/04/2013
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