MRS. Leslie Lucinda Peterson, RDH, OMT

NPI #1922689207 in Beaverton, Oregon

Provider Information

NPI Number: 1922689207
Entity Type: Individual
Name: MRS. Leslie Lucinda Peterson, RDH, OMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: RDH, OMT
Enumeration Date: Apr 18, 2021
Last Updated: Apr 24, 2021

Practice Location

Address: 6590 SW FALLBROOK PL STE 2
City: Beaverton
State: Oregon
ZIP Code: 97008-5465
Phone: (503) 922-6636

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X
Specialist	174400000X	Primary

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