Individual provider · Type 1 NPI

Gabrielle Marie Petersen, CPNP

Pediatric Nurse Practitioner · Oregon City, OR

NPI number 1912339896 Active

Practice location

1713 Penn Ln
Oregon City, OR 97045-1528

Fax (503) 655-7720

Mailing address

3035 NE 37th Ave
Portland, OR 97212-2847

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X091000238RN (OR)

Pediatric Nurse Practitioner: Definition to come...

11 other providers at this address

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About NPI 1912339896

Gabrielle Marie Petersen, CPNP's National Provider Identifier is 1912339896, issued on Aug 2, 2013. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Oregon City, OR. The record was last updated on Aug 2, 2013.