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Contact Information

MONICA PETERSON, DMD
608 B STREET WEST
RAINIER, OR97048
 Phone: 503-556-0002
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for MONICA PETERSON · (Female)

NPI Number 1134309628
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 11/13/2007
Last updated 05/22/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • OR License # D8981
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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