Individual
EMILY ERIN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
7203 SE RAYMOND ST, PORTLAND, OR 97206-4323
(503) 895-1320
Mailing address
3810 SE CENTER ST, PORTLAND, OR 97202-3209
(503) 895-1320
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
06668
OR
Other
Enumeration date
10/04/2011
Last updated
11/30/2011
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