JOHANNA RAE PETERSON

BEND, OR
NPI1396934238
Former NameJOHANNA RAE GODELL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: OR  PA01280)
Enumeration Date2007-10-16
Last Update Date2024-09-17
Business Address
MRS. JOHANNA RAE PETERSON PA-C
2200 NE NEFF RD STE 302
BEND, OR 97701-4279
Phone number: 541-706-4220
Mailing Address
MRS. JOHANNA RAE PETERSON PA-C
PO BOX 1188
CORVALLIS, OR 97339-1188
Phone number:
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