Individual
DR. CAROLINE DEANNE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
2031 E BURNSIDE ST, PORTLAND, OR 97214-1649
(503) 224-2100
Mailing address
2031 E BURNSIDE ST, PORTLAND, OR 97214-1649
(503) 224-2100
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2921
OR
111N00000X
Chiropractor
CH8654
FL
Other
Enumeration date
01/22/2009
Last updated
01/22/2009
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