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1538768007
KATLYN RENE PETERSON
PORTLAND, OR
NPI
1538768007
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: OR ATI4633)
Enumeration Date
2020-10-25
Last Update Date
2022-09-06
Business Address
KATLYN RENE PETERSON OD
1955 NW NORTHRUP ST
PORTLAND, OR 97209-1614
Phone number: 503-227-2020
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Mailing Address
KATLYN RENE PETERSON OD
PO BOX 22009
PORTLAND, OR 97269-2009
Phone number: 503-558-7372
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