| Peregrine International Inc | |
|
14780 Sw Osprey Dr Ste 240 Beaverton OR 97007-8424 | |
| (503) 579-2474 | |
| (503) 579-0909 |
| Full Name | Peregrine International Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 14780 Sw Osprey Dr Ste 240, Beaverton, Oregon |
| Authorized Official Name and Position | Loretta F Newberry (PRESIDENT) |
| Authorized Official Contact | 5035792474 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peregrine International Inc 14780 Sw Osprey Dr Ste 240 Beaverton OR 97007-8424 Ph: (503) 579-2474 | Peregrine International Inc 14780 Sw Osprey Dr Ste 240 Beaverton OR 97007-8424 Ph: (503) 579-2474 |
| NPI Number | 1982814877 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982814877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1748 (Oregon) | Primary |
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