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).
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 |
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 |
Address | Telephone Number | Fax Number |
---|---|---|
1740 Nw Goetz St, Roseburg, OR 974711613 | 5416407625 |
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 |
Street Address |
780 NW GARDEN VALLEY BLVD STE 310 |
City | ROSEBURG |
State | OR |
Zip Code | 97471-2298 |
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 |
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 Code | 225XH1200X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Occupational Therapist |
Specialization | Hand |
Definition to come... |
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 |
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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.