Individual
ADAM PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
QMHP
Contact information
Practice address
11211 SE 82ND AVE, SUITE O, HAPPY VALLEY, OR 97086-7624
(503) 722-6200
(503) 722-6545
Mailing address
2051 KAEN RD, SUITE 367, OREGON CITY, OR 97045-4035
(503) 742-5300
(503) 742-5979
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/21/2010
Last updated
12/18/2012
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