Individual
MRS. CLAUDIA M PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
17055 RUBEN LN, SANDY, OR 97055-9276
(503) 668-8002
(503) 668-5246
Mailing address
17055 RUBEN LN, SANDY, OR 97055-9276
(503) 668-8002
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200650138 NP FNP PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200650138NP
LICENSE
OR
05
—
500616147
—
OR
Enumeration date
03/14/2008
Last updated
05/25/2023
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