Barbara Jacqueline Petersen in Salem - Pediatrics
Barbara Jacqueline Petersen - NPI 1467437244
Barbara Jacqueline Petersen is a Pediatrics in Salem, Oregon. Barbara Jacqueline Petersen practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Barbara Jacqueline Petersen is 1467437244. The last update date is 2012-06-20.
Barbara Jacqueline Petersen's current location address is 2840 Grayhawk Ct Nw, Salem, Oregon. You can contact this provider via phone number 5033995411. The mailing address for Barbara Jacqueline Petersen is 2840 Grayhawk Ct Nw, Salem, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Barbara Jacqueline Petersen |
|---|---|
| Address | 2840 Grayhawk Ct Nw, Salem, Oregon |
| Phone Number | 5033995411 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1467437244 |
|---|---|
| Provider Enumeration Date | 2005-12-14 |
| Last Updated Date | 2012-06-20 |
Provider Mailing Address Detail
| Address | 2840 Grayhawk Ct Nw |
|---|---|
| City | Salem |
| State | Oregon (OR) |
| Post Code | 973043414 |
| Phone Number | 5033995411 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
| Licence No | 930 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
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What is the Barbara Jacqueline Petersen's unique identification number?
The Barbara Jacqueline Petersen has been assigned the NPI (National Provider Identifier) Number 1467437244 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Barbara Jacqueline Petersen located?
The Barbara Jacqueline Petersen is located at 2840 Grayhawk Ct Nw, Salem, OR 973043414.
What is Barbara Jacqueline Petersen's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Barbara Jacqueline Petersen is Pediatrics, and the taxonomy code that categorizes this field of expertise is 2251P0200X.
On what date was the 1467437244 assigned to Barbara Jacqueline Petersen?
The Barbara Jacqueline Petersen was issued its 1467437244 on 2005-12-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Barbara Jacqueline Petersen, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Barbara Jacqueline Petersen, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-06-20.