Individual provider · Type 1 NPI
Leslie Lucinda Peterson, RDH, OMT
Specialist · Beaverton, OR
NPI number
1922689207
Active
Practice location
6590 SW Fallbrook Pl Ste 2
Beaverton, OR 97008-5465
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Hygienist | 124Q00000X | None listed |
| Specialist Primary | 174400000X | None listed |
Specialist: 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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About NPI 1922689207
Leslie Lucinda Peterson, RDH, OMT's National Provider Identifier is 1922689207, issued on Apr 18, 2021. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Beaverton, OR. The record was last updated on Apr 24, 2021.