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Individual

AMANDA QUINN PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CGC

Contact information

Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8307
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8307

Taxonomy

Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
000522
MT
170300000X
Genetic Counselor (M.S.)
Primary
10252485
OR
170300000X
Genetic Counselor (M.S.)
61372075
WA

Other

Enumeration date
01/24/2023
Last updated
02/25/2025
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