Peterson, Candace L
Peterson, Candace L is an sole proprietor health care provider with primary practice located at 18795 Sw Boones Ferry Rd , Tualatin OR 97062-8412. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Peterson, Candace L can be contacted via phone (503) 691-9046.Contact Information
Primary practice address
18795 Sw Boones Ferry Rd
Tualatin OR 97062-8412
Phone: (503) 691-9046
Fax: (503) 692-7229
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 6101 | Oregon |
Profile Details
| NPI number | 1780682526 |
|---|---|
| LBN Legal business name | Peterson, Candace L |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 13th, 2005 |
| Last updated | Mar 4th, 2015 - about 10 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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