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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 2200 Ne Neff Rd Ste 302, Bend, OR and can be reached out via phone at 541-706-4220.

Location: 2200 Ne Neff Rd Ste 302, Bend, OR, 97339-1188
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396934238
Provider Name
Johanna Rae Peterson
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
2200 Ne Neff Rd Ste 302, Bend, OR, 97339-1188
Phone Number
541-706-4220
Fax Number
Provider Enumeration Date
10/16/2007
Last Update Date
10/19/2024
institution
Provider Business Practice Location Address Details
Address
2200 Ne Neff Rd Ste 302
City
Bend
State
Oregon
Zip
97701-4279
Phone Number
541-706-4220
Fax Number
person
Provider Business Mailing Address Details
Address
2200 Ne Neff Rd Ste 302
City
Bend
State
Oregon
Zip
97701-4279
Phone Number
541-706-4220
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA01280 (Oregon)
Definition
Definition to come...
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