NPI 1104581115

Mary Jane Peterson, PHD

Practitioner Health & Wellness Coach Aurora, OR

Practice location

Address: 19742 Olmstead Rd NE, Aurora, OR 97002-8712
Phone: (503) 678-2338

Registered specialties

Health & Wellness Coach Primary

Other Service Providers Taxonomy 171400000X

Other Health & Wellness Coach providers in Oregon →

Registry record

NPI: 1104581115
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Nov 2021
Record last updated: 4 Nov 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.