Peterson, Glenda A
Peterson, Glenda A is an individual health care provider with primary practice located at 16110 Sw Regatta Ln , Beaverton OR 97006-8942. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Peterson, Glenda A can be contacted via phone (503) 629-2131.Contact Information
Primary practice address
16110 Sw Regatta Ln
Beaverton OR 97006-8942
Phone: (503) 629-2131
Fax: (503) 617-9379
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 079039861N6 | Oregon |
Profile Details
| NPI number | 1871516773 |
|---|---|
| LBN Legal business name | Peterson, Glenda A |
| Credentials | PMHN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871516773 | NPPES |
| Other | 115218 | MANAGED HEALTH |
Popular Providers
-
Hardenbrook, Michelle
4800 Sw Griffith Dr Ste 104 , Beaverton OR 97005-8700 -
Demsky, Patricia A.
10700 Sw Beaverton Hillsdale Hwy , Beaverton OR 97005-3019 -
Hart, Heidi Louise
15455 Nw Greenbrier Pkwy Suite 240, Beaverton OR 97006-7374 -
Myers, Leslie J
16110 Sw Regatta Ln , Beaverton OR 97006-8942 -
Rosengarten, Esther Gabrielle
7766 Sw Bayberry Dr , Beaverton OR 97007-5551 -
Faulkner, Rebecca
2725 Sw Cedar Hills Blvd Ste 200 , Beaverton OR 97005-1435 -
Choe, Yoonhui
14255 Sw Brigadoon Ct , Beaverton OR 97005-3369 -
Apon, Rena
12150 Sw 1St St , Beaverton OR 97005-2850