Individual
CATHERINE ANN PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
9860 SW HALL BLVD, TIGARD, OR 97223-8896
(503) 806-6363
Mailing address
14215 SW YEARLING WAY, BEAVERTON, OR 97008-6722
(503) 806-6363
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6200
OR
Other
Enumeration date
06/03/2009
Last updated
06/03/2009
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