Peterson, Maudie Alice
Peterson, Maudie Alice is an sole proprietor health care provider with primary practice located at 3884 Commercial St Se # 203 , Salem OR 97302-3835. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Peterson, Maudie Alice can be contacted via phone (503) 362-7024.Contact Information
Primary practice address
3884 Commercial St Se # 203
Salem OR 97302-3835
Phone: (503) 362-7024
Fax: (503) 362-5404
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | CO224 | Oregon |
Profile Details
| NPI number | 1104983782 |
|---|---|
| LBN Legal business name | Peterson, Maudie Alice |
| Credentials | MS,LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 2nd, 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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