Individual provider · Type 1 NPI

Jennifer Rose Peterson, LAC

Acupuncturist · Corbett, OR

NPI number 1639633985 Active

Practice location

39420 SE Gordon Creek Rd
Corbett, OR 97019-8750

Mailing address

4536 NE 30th Ave
Portland, OR 97211-7136

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist 225700000X20187 (OR)
Acupuncturist Primary 171100000XAC189963 (OR)

Acupuncturist: An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

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About NPI 1639633985

Jennifer Rose Peterson, LAC's National Provider Identifier is 1639633985, issued on Jan 30, 2019. The primary taxonomy on file is Acupuncturist (171100000X), and the practice location is in Corbett, OR. The record was last updated on Jan 30, 2019.