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1952386732
SALLY ROTHACKER PEYTON
PORTLAND, OR
NPI
1952386732
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: ME R042060)
Enumeration Date
2005-12-14
Last Update Date
2019-11-26
Business Address
SALLY ROTHACKER PEYTON APRNCS, PMH-NP
619 NW 6TH AVE FL 3
PORTLAND, OR 97209-3964
Phone number: 503-988-3663
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Mailing Address
SALLY ROTHACKER PEYTON APRNCS, PMH-NP
619 NW 6TH AVE FL 5
PORTLAND, OR 97209-3964
Phone number:
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