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NPI Code Detail

MEDICARE: MRS. CLAUDIA M PETERSON FNP

MEDICARE: MRS. CLAUDIA M PETERSON FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner200650138 NP FNP PPOR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1200650138NPOTHERORLICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538330816
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CLAUDIA M PETERSON FNP
Provider Business Mailing Address
First Line : 17055 RUBEN LN
Second Line :
City : SANDY
State : OR
Zip : 97055-9276
Country : US
Telephone Number : 503-668-8002
Fax Number :
Provider Business Practice Location Address
First Line : 17055 RUBEN LN
Second Line :
City : SANDY
State : OR
Zip : 97055-9276
Country : US
Telephone Number : 503-668-8002
Fax Number : 503-668-5246
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2008
Last Update Date : 05/25/2023

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Directions to “ MRS. CLAUDIA M PETERSON FNP” Practice Location

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