Individual
ABIGAIL PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13029 SE DIVISION ST, PORTLAND, OR 97236-3168
(503) 954-3428
(503) 954-3409
Mailing address
3587 HEATHROW WAY, MEDFORD, OR 97504-4004
(503) 867-4971
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/24/2015
Last updated
02/18/2016
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