Individual
DR. KATHRYN ELIZABETH PETERSCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
6395 KEIZER STATION BLVD NE, #101, KEIZER, OR 97303-2305
(971) 267-2033
Mailing address
151 W WASHINGTON ST., STAYTON, OR 97383
(503) 769-2788
(503) 769-2728
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10093
OR
Other
Enumeration date
08/03/2014
Last updated
11/23/2015
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