MICHELLE ANN PETERSON

PORTLAND, OR
NPI1093432338
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OR  22-R-34)
Enumeration Date2022-10-27
Last Update Date2022-10-27
Business Address
MICHELLE ANN PETERSON CADAC-II
1427 SE 182ND AVE
PORTLAND, OR 97233-5008
Phone number: 503-761-6006
Mailing Address
MICHELLE ANN PETERSON CADAC-II
1027 E BURNSIDE ST
PORTLAND, OR 97214-1328
Phone number: 503-239-8400