Pamela Diane Peterson, LMT

NPI #1609186709 in Gresham, Oregon

Provider Information

NPI Number
1609186709
Entity Type
Individual
Name
Pamela Diane Peterson, LMT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
LMT
Enumeration Date
Oct 7, 2010
Last Updated
Oct 7, 2010

Practice Location

Address
1155 NE HOGAN DR
State
Oregon
ZIP Code
97030-4129
Phone
(503) 706-8271

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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