Peterson, Diana

Peterson, Diana is an individual health care provider with primary practice located at 3099 River Rd S Ste 120, Salem OR 97302. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, Speech, Language and Hearing Service Providers / Audiologist. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Peterson, Diana can be contacted via phone (503) 485-2581.

Contact Information

Primary practice address
3099 River Rd S Ste 120 Salem OR 97302
Phone: (503) 485-2581
Fax: (503) 485-2564
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X HAS-P-1002783 Oregon
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 22596 Oregon

Profile Details

NPI number 1366602682
LBN Legal business name Peterson, Diana
Credentials M.S, CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2008
Last updated Jul 10th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1366602682 NPPES
Oregon MEDICAID 500625779

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