Individual
DR. PEGGY M ROLLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.D., L.AC.
Contact information
Practice address
2456 NW NORTHRUP ST, SUITE 1A, PORTLAND, OR 97210-3253
(503) 223-7067
(503) 223-9639
Mailing address
2456 NW NORTHRUP, SUITE 1A, PORTLAND, OR 97210
(503) 223-7067
(503) 223-9639
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC00092
OR
175F00000X
Naturopath
Primary
0668
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
93-1058526
TAX ID #
OR
Enumeration date
02/26/2007
Last updated
09/19/2012
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