Individual
MRS. CHRISTINA MARIE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H
Contact information
Practice address
3545 LANCASTER DR NE, SALEM, OR 97305-1435
(503) 371-9897
Mailing address
472 HELEN ST, EUGENE, OR 97404-2443
(803) 840-5518
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H7009
OR
Other
Enumeration date
10/14/2015
Last updated
10/14/2015
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