Peterson, Jessica

Peterson, Jessica is an individual health care provider with primary practice located at 966 12Th St Se Ste 130 , Salem OR 97302-2860. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutritionist, which is considered as her primary health care specialty. Peterson, Jessica can be contacted via phone (503) 814-4400.

Contact Information

Primary practice address
966 12Th St Se Ste 130 Salem OR 97302-2860
Phone: (503) 814-4400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X

Profile Details

NPI number 1265778476
LBN Legal business name Peterson, Jessica
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2012
Last updated Sep 20th, 2016 - about 9 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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