Individual
KATIE PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPM, LDM
Contact information
Practice address
1453 REDWOOD CIR, GRANTS PASS, OR 97527-5523
(541) 916-8333
(541) 843-1010
Mailing address
1453 REDWOOD CIR, GRANTS PASS, OR 97527-5523
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
LD-10252254
OR
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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