Individual
MS. PATRICE ANNE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1359 PATTERSON ST., EUGENE, OR 97401
(541) 343-5004
Mailing address
1901 FAIRMOUNT BLVD, EUGENE, OR 97403-1766
(541) 343-5004
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00061
OR
Other
Enumeration date
06/12/2007
Last updated
07/08/2007
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