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Leif Eric Petterson JR., NP
Family Nurse Practitioner in Redmond, Oregon
NPI 1730559360

Leif Eric Petterson JR. is a Family Nurse Practitioner based in Bend, OR and is specialized in Family. Leif Eric Petterson JR. practices in Redmond, OR and has the professional credentials of NP. The NPI Number for Leif Eric Petterson JR. is 1730559360 and holds a License No. 006253 (Oregon).

The current practice location address for Leif Eric Petterson JR. is 1250 Sw Veterans Way Ste 120, Redmond, OR and can be reached out via phone at 541-383-3005 and via fax at 541-383-1883.

Location: 1250 Sw Veterans Way Ste 120, Redmond, OR, 97702-1099
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730559360
Provider Name
Leif Eric Petterson JR.
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
1250 Sw Veterans Way Ste 120, Redmond, OR, 97702-1099
Phone Number
541-383-3005
Fax Number
541-383-1883
Provider Enumeration Date
09/24/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1250 Sw Veterans Way Ste 120
City
Redmond
State
Oregon
Zip
97756-2588
Phone Number
541-383-3005
Fax Number
541-383-1883
person
Provider Business Mailing Address Details
Address
1250 Sw Veterans Way Ste 120
City
Redmond
State
Oregon
Zip
97756-2588
Phone Number
541-383-3005
Fax Number
541-383-1883
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
006253 (Connecticut)
Definition
Definition to come...
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