Petersen, Devin R

Petersen, Devin R is an individual health care provider with primary practice located at 3517 Nw Samaritan Dr Ste 100 , Corvallis OR 97330-3768. He recently has only one registered license in Behavioral Health & Social Service Providers / Health, which is considered as his primary health care specialty. Petersen, Devin R can be contacted via phone (541) 768-4280.

Contact Information

Primary practice address
3517 Nw Samaritan Dr Ste 100 Corvallis OR 97330-3768
Phone: (541) 768-4280
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health 103TH0004X

Profile Details

NPI number 1306572441
LBN Legal business name Petersen, Devin R
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2022
Last updated Oct 6th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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