NPI 1225357262
Kimberly Petersen
Practice location
- Address
- 10180 SE Sunnyside Road, Clackamas, OR 97015
- Phone
- (503) 652-2880
- Mailing address
- 1963 NW Irving St APT 206, Portland, OR 97209
Registered specialties
Critical Care Certified Respiratory Therapist
Primary
Registry record
- NPI
- 1225357262
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 28 May 2010
- Record last updated
- 28 May 2010
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.