Individual
MS. ANNA LOUISE PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1605 G ST, SPRINGFIELD, OR 97477-4227
(541) 747-6159
(541) 741-7249
Mailing address
1605 G ST, SPRINGFIELD, OR 97477-4227
(541) 747-6159
(541) 741-7249
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00173600
NJ
363A00000X
Physician Assistant
Primary
PA210036
OR
363AM0700X
Medical Physician Assistant
8219448-1206
UT
Other
Enumeration date
02/21/2007
Last updated
09/18/2024
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