MS. Vanessa Irene Peterson, LMT

NPI #1871612069 in Forest Grove, Oregon

Provider Information

NPI Number: 1871612069
Entity Type: Individual
Name: MS. Vanessa Irene Peterson, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: LMT
Enumeration Date: Mar 28, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1911 MOUNTAIN VIEW LANE
Address 2: SUITE 300
City: Forest Grove
State: Oregon
ZIP Code: 97116
Phone: (503) 357-2826

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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