IndividualActive
Lisa Peterson, MT-BC
NPI 1740019850 · Music Therapist · Forest Grove, OR
Provider details
- NPI number
- 1740019850
- Entity type
- Individual
- Primary specialty
- Music TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MT-BC
- Sex
- Female
- Sole proprietor
- Yes
- License
- MT-T-10174257 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2623 12th Ave
Forest Grove, OR 97116-3003
Phone: (503) 901-6953
Approximate (ZIP-level) locationGet directions
Mailing address
2623 12th Ave
Forest Grove, OR 97116-3003
Registry dates
- Enumerated
- 2024-07-29
- Last updated
- 2024-07-29
- Certified
- 2024-07-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.