Individual
NICOLE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
208 OAK ST STE 106E, ASHLAND, OR 97520-1871
(541) 631-9649
Mailing address
2717 CLAY CREEK WAY, ASHLAND, OR 97520-8605
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC166652
OR
Other
Enumeration date
05/02/2019
Last updated
05/02/2019
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