Petersen, Susan Adele

Petersen, Susan Adele is an sole proprietor health care provider with primary practice located at 30240 Sw Parkway Ave Ste 5 , Wilsonville OR 97070-9756. She recently has only one registered license in Other Service Providers / Mechanotherapist, which is considered as her primary health care specialty. Petersen, Susan Adele can be contacted via phone (503) 730-1785.

Contact Information

Primary practice address
30240 Sw Parkway Ave Ste 5 Wilsonville OR 97070-9756
Phone: (503) 730-1785
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Mechanotherapist 172M00000X 10903 Oregon

Profile Details

NPI number 1801061676
LBN Legal business name Petersen, Susan Adele
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2008
Last updated Apr 23rd, 2008 - about 16 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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