Mrs Rocio Petersen, MS, RDN | |
3896 Beverly Ave Ne Ste 40, Salem, OR 97305-1374 | |
(503) 588-0076 | |
(503) 655-8595 |
Full Name | Mrs Rocio Petersen |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 3896 Beverly Ave Ne Ste 40, Salem, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982094645 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | LD-D-10196306 (Oregon) | Primary |
Provider Name | Yakima Valley Farm Workers Clinic |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1427001940 PECOS PAC ID: 4385541986 Enrollment ID: O20040116001020 |
Mailing Address | Practice Location Address |
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Mrs Rocio Petersen, MS, RDN 3896 Beverly Ave Ne Ste 40, Salem, OR 97305-1374 Ph: (503) 588-0076 | Mrs Rocio Petersen, MS, RDN 3896 Beverly Ave Ne Ste 40, Salem, OR 97305-1374 Ph: (503) 588-0076 |
Ashleigh Collins, MS RDN CNSC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1319 Orchard Heights Rd Nw Apt 1074, Salem, OR 97304 Phone: 224-623-3330 | |
Catherine M Larrouy, RD, LD Dietitian Medicare: Medicare Enrolled Practice Location: 255 Lancaster Dr Ne, Salem, OR 97301 Phone: 503-576-8360 | |
Vicki Lynn Duesterhoeft, MS, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2600 Center St Ne, Salem, OR 97301 Phone: 503-945-9826 Fax: 503-945-9864 | |
Rita Annette Giles, MPH, RD, LD, CNSC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2755 Commercial St Se # 101-133, Salem, OR 97302 Phone: 209-765-3158 | |
Mrs. Sara Christine Sackett, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4163 Sunray Ave S., Salem, OR 97302 Phone: 619-372-9799 | |
Heather Loch, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2600 Center St Ne, Salem, OR 97301 Phone: 503-945-2800 | |
Connie Jo Mickelson, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2600 Center St Ne, Salem, OR 97301 Phone: 503-945-2800 |