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Dr. Caroline Deanne Peterson, DC

Chiropractor in Portland, OR. Individual provider (NPI-1).

NPI number1760620256
StatusActive
Last updated in NPPESJan 22, 2009

Details

NPI
1760620256
Entity type
Individual (NPI-1)
Name
Dr. Caroline Deanne Peterson
Credential
DC
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 22, 2009
Last updated
Jan 22, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor2921ORYes
111N00000X ChiropractorCH8654FL

Practice location

2031 E Burnside St
Portland, OR 97214-1649

Phone 503-224-2100

Mailing address

2031 E Burnside St
Portland, OR 97214-1649

Phone 503-224-2100

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