Individual
DR. ANNA IRENE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.D.
Contact information
Practice address
3025 S CORBETT AVE, PORTLAND, OR 97201-4858
(503) 552-1551
Mailing address
PO BOX 1457, STEVENSON, WA 98648-1457
(509) 427-3624
(509) 427-3625
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
NT60319044
WA
Other
Enumeration date
10/03/2011
Last updated
07/17/2020
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