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GABRIELLE MARIE PETERSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
1713 PENN LN, OREGON CITY, OR 97045-1528
(503) 655-7725
(503) 655-7720
Mailing address
3035 NE 37TH AVE, PORTLAND, OR 97212-2847
(503) 724-7795

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
091000238RN
OR

Other

Enumeration date
08/02/2013
Last updated
08/02/2013
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