Peterson, Suzanne

Peterson, Suzanne is an individual health care provider with primary practice located at 900 E Main St , Medford OR 97504-7136. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Peterson, Suzanne can be contacted via phone (541) 842-7705.

Contact Information

Primary practice address
900 E Main St Medford OR 97504-7136
Phone: (541) 842-7705
Fax: (541) 842-7640
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1669510582
LBN Legal business name Peterson, Suzanne
Credentials LMFT, CADC-IT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2007
Last updated Mar 28th, 2022 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1669510582 NPPES
Oregon MEDICAID 500738443

Popular Providers