Individual
DR. CORY PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3942 SE HAWTHORNE BLVD, PORTLAND, OR 97214-5242
(503) 235-5484
(503) 235-3956
Mailing address
3942 SE HAWTHORNE BLVD, PORTLAND, OR 97214-5242
(503) 235-5484
(503) 235-3956
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5797
OR
Other
Enumeration date
01/31/2017
Last updated
01/31/2017
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