Individual
DIANA PETERMAN-ST AMOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3415 SE POWELL BLVD, PORTLAND, OR 97202-3371
(503) 667-2954
Mailing address
3415 SE POWELL BLVD, PORTLAND, OR 97202-3371
(503) 667-2954
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/08/2021
Last updated
10/08/2021
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