person
Mrs. Johanna Rae Peterson, PA-C
Medical Physician Assistant in Bend, Oregon
NPI 1396934238

Johanna Rae Peterson is a Medical Physician Assistant based in Corvallis, OR and is specialized in Medical. Johanna Rae Peterson practices in Bend, OR and has the professional credentials of PA-C. The NPI Number for Johanna Rae Peterson is 1396934238 and holds a License No. PA01280 (Oregon).

The current practice location address for Johanna Rae Peterson is 61250 Se Coombs Pl, Bend, OR and can be reached out via phone at 541-706-5930 and via fax at 541-706-5931. You can also correspond with Johanna Rae Peterson through the mailing address at PO BOX 1188, CORVALLIS, OR - 97339-1188 (mailing address contact number: ).

Location: 61250 Se Coombs Pl, Bend, OR, 97339-1188
person
Provider Profile Details
NPI Number
1396934238
Provider Name
Johanna Rae Peterson
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
61250 Se Coombs Pl, Bend, OR, 97339-1188
Phone Number
541-706-5930
Fax Number
541-706-5931
Provider Enumeration Date
10/16/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
61250 Se Coombs Pl
City
State
Zip
97702-3704
Phone Number
541-706-5930
Fax Number
541-706-5931
person
Provider Business Mailing Address Details
Address
Po Box 1188
City
State
Zip
97339-1188
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA01280 (Oregon)
Definition
Definition to come...
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