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Contact Information

DIANA PETERSON, M.S, CCC-A
3099 RIVER RD S
STE 120
SALEM, OR97302
 Phone: 503-485-2581
 Fax: 503-485-2564
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Audiologist

231H00000X 64 Audiologist
 

Hearing Instrument Specialist

237700000X
Indicates primary specialty

NPI Profile & details for DIANA PETERSON · (Female)

NPI # 1366602682
Status Active
Credentials M.S, CCC-A
Entity Individual
Enumeration date 06/10/2008
Last updated 07/10/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • OR License # 22596
  • OR License # HAS-P-1002783
  • OR Medicaid 500625779
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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