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Mrs. Leslie Lucinda Peterson, RDH,OMT
Specialist in Beaverton, Oregon
NPI 1922689207

Leslie Lucinda Peterson is a Specialist based in Beaverton, OR. Leslie Lucinda Peterson practices in Beaverton, OR and has the professional credentials of RDH,OMT. The NPI Number for Leslie Lucinda Peterson is 1922689207 and holds a License No. (Oregon).

The current practice location address for Leslie Lucinda Peterson is 6590 Sw Fallbrook Pl Ste 2, Beaverton, OR and can be reached out via phone at 503-922-6636.

Location: 6590 Sw Fallbrook Pl Ste 2, Beaverton, OR, 97008-5465
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922689207
Provider Name
Leslie Lucinda Peterson
Credential
RDH,OMT
Provider Entity Type
Individual
Gender
Female
Address
6590 Sw Fallbrook Pl Ste 2, Beaverton, OR, 97008-5465
Phone Number
503-922-6636
Fax Number
Provider Enumeration Date
04/18/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6590 Sw Fallbrook Pl Ste 2
City
Beaverton
State
Oregon
Zip
97008-5465
Phone Number
503-922-6636
Fax Number
person
Provider Business Mailing Address Details
Address
6590 Sw Fallbrook Pl Ste 2
City
Beaverton
State
Oregon
Zip
97008-5465
Phone Number
503-922-6636
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dental Hygienist
Speciality
-
Taxonomy
124Q00000X
License No.
()
Definition
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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