MS. VANESSA IRENE PETERSON (NPI# 1871612069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871612069 |
| Entity Type | Individual |
| Full Name | MS. VANESSA IRENE PETERSON |
| Credential | LMT |
| Practice Address |
1911 Mountain View Lane Suite 300 Forest Grove OR 97116 |
| Mailing Address |
333 North 19th Ave Cornelius OR 97113 |
| Practice Telephone | 5033572826 |
| Practice Fax Number | 5033574831 |
| Mailing Telephone | 5034300091 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 12894 | OR | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669987111 | Vanessa Mae Peterson | Foster Care Agency | 2012 Osprey Place Nw, Stewartville, MN 55976 | 2017-12-06 |
| 1285027979 | Vanessa Peterson | Counselor | 1 Beechwood Ln, Burlington, NJ 08016-9769 | 2015-03-05 |
| 1912348145 | Vanessa Noel Browne Peterson | Dentist | 436 N Mountain Ave, Upland, CA 91786 | 2013-07-16 |
| 1720386840 | Vanessa Peterson | Social Worker | 857 E 200 S, Salt Lake City, UT 84102-2317 | 2011-03-14 |
| 1205958576 | Vanessa L Peterson | Internal Medicine | 10201 Se Main St, Portland Lung Clinic, Portland, OR 97216-2937 | 2007-04-05 |
| Street Address |
1911 MOUNTAIN VIEW LANE SUITE 300 |
| City | FOREST GROVE |
| State | OR |
| Zip Code | 97116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285717579 | Darcy Catherine Cruikshank | Dentist | 1911 Mountain View Lane, #100, Forest Grove, OR 97116-2382 | 2006-10-23 |
| 1558526913 | Stephen T Ensign | Specialist | 1911 Mountain View Lane, Suite 200, Forest Grove, OR 97116-2382 | 2008-07-25 |
| 1942349089 | Barbara M Panther-gibby | Psychologist | 1911 Mountain View Lane, Ste. 500, Forest Grove, OR 97116-2248 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780220988 | Jenny Park | Social Worker | 2023 Hawthorne Street, Building C, Forest Grove, OR 97116 | 2019-11-22 |
| 1447742077 | Kimberly K Sabin | Doula | 1239 Goff Rd, Forest Grove, OR 97116 | 2018-05-30 |
| 1891205266 | Sonam Narayan | Optometrist | 2221 Pacific Avenue, Forest Grove, OR 97116 | 2017-10-11 |
| 1013260181 | Sharon Louise Benjamin | Nurse Practitioner | 2724 Harvest Ct, Forest Grove, OR 97116 | 2012-10-25 |
| 1336445535 | Shane Michael Peterson | Physical Therapist | 3300 19th Avenue, Forest Grove, OR 97116 | 2011-02-04 |
| 1023324415 | Kara Marie Cooper | Registered Nurse | 2221 Oak St, Forest Grove, OR 97116 | 2010-08-24 |
| 1811229792 | Rachel Lucinda Erin Dilly | Speech-Language Pathologist | 3300 19th Ave., Forest Grove, OR 97116 | 2010-02-03 |
| 1720286339 | Thuymai Anna Fee | Physical Therapist | Custom Care Physical Therapy, 4150 Pacific Ave. #100, Forest Grove, OR 97116 | 2007-07-05 |
| 1629102454 | Lois Elizabeth Yevdalcia Dimick | Massage Therapist | 2004 Main St, Suite 204, Forest Grove, OR 97116 | 2007-03-15 |
| 1023159936 | Ninette Kay Foster | Contractor | 2329 Pacific Ave., Forest Grove, OR 97116 | 2007-02-12 |
| Find all providers in zip 97116 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | 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. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275785172 | Camille Emiko Robinson | Specialist | 1909 Cedar St, Forest Grove, OR 97116-2437 | 2008-10-22 |
| 1477780559 | Candace M Bethel | Specialist | 1911 Mountain View Ln, Suite 200, Forest Grove, OR 97116-2382 | 2009-06-16 |
| 1003043183 | Stephanie L Letson | Specialist | 1911 Mountain View Ln, Suite 200, Forest Grove, OR 97116-2382 | 2009-06-16 |
| 1861626152 | Cristina Leigh Mandera | Specialist | 1911 Mountain View Ln, Suite 200, Forest Grove, OR 97116-2382 | 2009-05-14 |
| 1285875989 | Jeb S Hendrix | Specialist | 1911 Mountain View Ln, Suite 200, Forest Grove, OR 97116-2382 | 2009-03-10 |
| 1811138514 | Brett Goetz | Specialist | 1911 Mountain View Ln, Suite 200, Forest Grove, OR 97116-2382 | 2009-03-10 |
| 1902043409 | Kimberly A Orahood | Specialist | 1911 Mountain View Ln, Suite 200, Forest Grove, OR 97116-2382 | 2009-01-21 |
| 1063657575 | Christine Gentry-nelson | Specialist | 1911 Mountain View Ln, Suite 200, Forest Grove, OR 97116-2382 | 2008-12-11 |
| 1609021492 | Aurora Ornell Hoover-purlee | Specialist | 1911 Mountain View Ln, Suite 200, Forest Grove, OR 97116-2382 | 2008-11-21 |
| 1558526913 | Stephen T Ensign | Specialist | 1911 Mountain View Lane, Suite 200, Forest Grove, OR 97116-2382 | 2008-07-25 |
| Find all providers in FOREST GROVE | ||||
| City | FOREST GROVE |
| Zip Code | 97116 |
Please comment or provide details below to improve the information on MS. VANESSA IRENE PETERSON.
| 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.