| NPI | 1629599196 |
|---|---|
| Former Legal Business Name | THERESA PETERS |
| Entity Type | Organization |
| Authorized Contact | THERESA LOUISE PETERS Licenced Clinical Social Worker 503-437-4595 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OR L6571) |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2017-07-05 |