Peterson, Mary
Peterson, Mary is an sole proprietor health care provider with primary practice located at 414 N Meridian St Box 6275, Newberg OR 97132-2697. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Peterson, Mary can be contacted via phone (503) 554-2377.Contact Information
Primary practice address
414 N Meridian St Box 6275
Newberg OR 97132-2697
Phone: (503) 554-2377
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1671 | Oregon |
Profile Details
| NPI number | 1720135163 |
|---|---|
| LBN Legal business name | Peterson, Mary |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 5th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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