Individual
DAWN ELIZABETH PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2303 E BURNSIDE ST, PORTLAND, OR 97214-1655
(503) 213-6970
Mailing address
2303 E BURNSIDE ST, PORTLAND, OR 97214-1655
(503) 213-6970
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27346
OR
Other
Enumeration date
04/14/2023
Last updated
04/14/2023
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