Individual
SHERYL PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17720 NE HALSEY ST, PORTLAND, OR 97230-6734
(503) 654-7654
(503) 654-7333
Mailing address
3587 HEATHROW WAY, MEDFORD, OR 97504-4004
(503) 545-9787
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
094006767RN
OR
Other
Enumeration date
01/15/2015
Last updated
02/24/2016
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