KATHERINE JANE PETERSEN


Address: 780 Nw Garden Valley Blvd Ste 310, Roseburg, OR 97471-2298
Phone: 5416407625

KATHERINE JANE PETERSEN (NPI# 1861847972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861847972
Entity Type Individual
Full Name KATHERINE JANE PETERSEN
Credential OTR/L
Practice Address 780 Nw Garden Valley Blvd Ste 310
Roseburg
OR 97471-2298
Mailing Address 1292 High St Ste 224
Eugene
OR 97401-3238
Practice Telephone 5416407625
Mailing Telephone 5415002500
Enumeration Date 2016-04-26
Last Update Date 2020-01-24
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225XH1200X Occupational Therapist
Specialization: Hand
314735 OR Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1740 Nw Goetz St, Roseburg, OR 974711613 5416407625

Other Providers KATHERINE PETERSEN

NPI Name Taxonomy Address Enumeration
1386034932 Katherine Marie Petersen Student in an Organized Health Care Education/Training Program 2613 E Solar Ave, Fresno, CA 93720-4619 2015-02-03
1598263485 Katherine Ann Petersen Physical Therapist 141 Hampton Cir, Rochester Hills, MI 48307-4103 2018-01-25
1033511365 Katherine Petersen Dietitian, Registered 650 E Indian School Rd, Phoenix, AZ 85012-1839 2014-09-18
1649694191 Katherine Eleanor Petersen Occupational Therapist 1055 175th St, Homewood, IL 60430-4610 2014-02-04
1023399474 Katherine Renee Petersen Pharmacist 12 Main St, Epping, NH 03042-2425 2011-08-30
1861786469 Katherine Petersen Case Manager/Care Coordinator 1502 Mary Kay Blvd, Benton, AR 72015-8909 2011-06-01
1508170457 Katherine A Petersen Anesthesiology 800 Rose St # N217, Lexington, KY 40536-0293 2010-08-03
1992996946 Katherine R. Petersen Dentist 400 S Highway 27, Stanley, NC 28164 2007-08-06
1902826258 Katherine A Petersen Nurse Practitioner 225 Smith Ave N, Suite 300, Saint Paul, MN 55102-2533 2006-07-20

Office Location

Street Address 780 NW GARDEN VALLEY BLVD STE 310
City ROSEBURG
State OR
Zip Code 97471-2298

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043401201 Erin P Cassidy Registered Nurse 780 Nw Garden Valley Blvd Ste 310, Roseburg, OR 97471-2298 2007-08-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841805660 Rae Ann Barnes Pharmacist 913 Ne Garden Valley Blvd, Pharmacy, Roseburg, OR 97471 2020-09-09
1023651031 Colton Phillips Behavioral Analyst 940 Nw Garden Valley Bvld #104, Roseburg, OR 97471 2019-10-22
1952884876 Meredith Krugel Lcsw PC Clinic/Center 2225 Nw Stewart Parkway Ste 200, Roseburg, OR 97471 2018-09-07
1114456563 Philip Kaser Family, LLC Pharmacy 1175 W. Harvard Avenue, Roseburg, OR 97471 2017-06-08
1053854208 Icco LLC Clinic/Center 1740 Nw Goetz Street, Roseburg, OR 97471 2016-11-21
1770034589 Evie Jepsen Case Manager/Care Coordinator 2700 Stewart Parkway Annex B, Suite 110, Roseburg, OR 97471 2016-10-17
1932551256 Jonathan Schmidt Licensed Practical Nurse 913 Nm Garden Valley Blvd, Va Roseburg Medical Center, Roseburg, OR 97471 2016-07-11
1932580586 Jeffrey Mark Wareham Case Manager/Care Coordinator 2700 Medical Loop, Annex B, Roseburg, OR 97471 2015-06-09
1558784215 Ginger Jean Thibedeau Massage Therapist 3019 Nw Stewart Parkway, Suite 304 #183, Roseburg, OR 97471 2014-01-30
1427303122 Karishma Parekh Internal Medicine 2460 Nw Stewart Pkwy Ste 103, Roseburg, OR 97471 2012-07-18
Find all providers in zip 97471

Taxonomy Information

Taxonomy Code 225XH1200X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist
Specialization Hand

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1639430887 Carrie F. Meadowcroft Occupational Therapist 598 E. 13th Avenue, Eugene, OR 97401 2012-06-05
1861764003 Sanders Hand Therapy, Inc Occupational Therapist 1914 Willamette Falls Dr Ste 210, West Linn, OR 97068-4689 2012-02-03
1033410709 Marta Bogrand Occupational Therapist 2525 Nw Lovejoy St Ste 205, Portland, OR 97210-2863 2010-11-10
1962727545 Willamette Hand Therapy, LLC Occupational Therapist 1711 Willamette St, Suite 302, Eugene, OR 97401-4014 2010-04-07
1235395252 Jennifer Renee Allen Occupational Therapist 23070 Sw Lodgepole Ave, Tualatin, OR 97062-7609 2008-07-29
1477753291 Rebound Physical Therapy, LLC Occupational Therapist 61470 S Highway 97, Suite 4, Bend, OR 97702-2187 2007-07-19
1225190994 Hands On Upper Extremity Rehab LLC Occupational Therapist 17020 Sw Upper Boones Ferry Rd, Suite 102, Portland, OR 97224-7078 2006-12-15
1427128834 Eugene Hand Therapy Clinic LLC Occupational Therapist 2866 Crescent Ave, Suite 107, Eugene, OR 97408-7342 2006-11-09
1700891165 Ryan Douglas Glover Armworks Hand Therapy Occupational Therapist 11300 Ne Halsey St Ste 102, Portland, OR 97220-2013 2006-07-31
1881662914 Janet Mary Sanders Occupational Therapist 2213 Country Club Rd, Woodburn, OR 97071-2811 2006-03-14
Find all providers with the same taxonomy

Competitor

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City ROSEBURG
Zip Code 97471

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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