Individual
MRS. ROCIO PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN
Contact information
Practice address
3896 BEVERLY AVE NE STE 40, SALEM, OR 97305-1374
(503) 588-0076
(503) 655-8595
Mailing address
3896 BEVERLY AVE NE STE 40, SALEM, OR 97305-1374
(503) 588-0076
(503) 588-7578
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD-D-10196306
OR
Other
Enumeration date
02/02/2015
Last updated
10/11/2023
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