MEDICARE: MS. VANESSA IRENE PETERSON LMT

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
1	174400000X	Specialist	12894	OR

General Provider Information

NPI Number	:	1871612069
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. VANESSA IRENE PETERSON LMT

Provider Business Mailing Address
First Line	:	333 NORTH 19TH AVE
Second Line	:
City	:	CORNELIUS
State	:	OR
Zip	:	97113
Country	:	US
Telephone Number	:	503-430-0091
Fax Number	:

Provider Business Practice Location Address
First Line	:	1911 MOUNTAIN VIEW LANE
Second Line	:	SUITE 300
City	:	FOREST GROVE
State	:	OR
Zip	:	97116
Country	:	US
Telephone Number	:	503-357-2826
Fax Number	:	503-357-4831

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1851515969 — TUALITY HEALTHCARE
Practice Location Address:

1809 MAPLE ST
FOREST GROVE, OR
97116-1939

Practice Phone: 503-359-6153
Practice Fax: 503-359-6945

1265369094 — JORDAN NICOLAS CUTAIA
Practice Location Address:

2043 COLLEGE WAY
FOREST GROVE, OR
97116-1756

Practice Phone: 360-544-2399
Practice Fax:

1881521227 — PAYSON BAKER
Practice Location Address:

2043 COLLEGE WAY
FOREST GROVE, OR
97116-1797

Practice Phone: 503-352-2020
Practice Fax:

1083542328 — HOPE NICOLE SLIWA
Practice Location Address:

2043 COLLEGE WAY
FOREST GROVE, OR
97116-1797

Practice Phone: 503-352-2020
Practice Fax:

1003810441 — DR. TIMOTHY J. GRAY SR. D.O.
Practice Location Address:

1909 MOUNTAIN VIEW LN , SUITE 200
FOREST GROVE, OR
97116-2893

Practice Phone: 503-359-4773
Practice Fax: 503-359-3809

1588668933 — MRS. KAREN A. KIRWAN FNP-C
Practice Location Address:

1909 MOUNTAIN VIEW LN , SUITE 200
FOREST GROVE, OR
97116-2893

Practice Phone: 503-359-4773
Practice Fax: 503-359-3809

1699770057 — DR. TIMOTHY J. GRAY II D.O.
Practice Location Address:

1909 MOUNTAIN VIEW LN , SUITE 200
FOREST GROVE, OR
97116-2893

Practice Phone: 503-359-4773
Practice Fax: 503-359-3809

Directions to “ MS. VANESSA IRENE PETERSON LMT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.