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Individual

HEATHER PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9300 SE 91ST AVE STE 200, HAPPY VALLEY, OR 97086-3762
(503) 261-1171
Mailing address
200 SW MARKET ST STE 1650, PORTLAND, OR 97201-5739

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
113033
OR

Other

Enumeration date
02/25/2025
Last updated
02/25/2025
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