Individual
RAQUELLE PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13129 SE LINCOLN ST, PORTLAND, OR 97233-1437
(801) 636-6434
Mailing address
13129 SE LINCOLN ST, PORTLAND, OR 97233-1437
(801) 636-6434
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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