GLENDA A PETERSON

BEAVERTON, OR
NPI1871516773
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR  079039861N6)
Enumeration Date2006-07-25
Last Update Date2007-07-08
Business Address
-- GLENDA A PETERSON PMHN
16110 SW REGATTA LN
BEAVERTON, OR 97006-8942
Phone number: 503-629-2131
Mailing Address
-- GLENDA A PETERSON PMHN
PO BOX 42510
PORTLAND, OR 97242-0510
Phone number: 503-963-1290
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