IndividualActive
Brooke Petersen
NPI 1407788649 · Student in an Organized Health Care Education/Training Program · Lebanon, OR
Provider details
- NPI number
- 1407788649
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Student, Health Care
Practice location
200 Mullins Dr
Lebanon, OR 97355-3983
Phone: (541) 259-0235
Approximate (ZIP-level) locationGet directions
Mailing address
200 Mullins Dr
Lebanon, OR 97355-3983
Registry dates
- Enumerated
- 2026-06-02
- Last updated
- 2026-06-02
- Certified
- 2026-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.