Bennett Grey Peterson
Bennett Grey Peterson is a Personal Care Attendant in Portland, Oregon. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
5023 NE Killingsworth StPortland, OR 97218-1915
Phone: (503) 284-1794
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Personal Care Attendant (primary) | Taxonomy 3747P1801X |
|---|
Record details
| NPI number | 1255069647 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 12, 2022 |
| Last updated in NPPES | August 12, 2022 |
| Certification date | August 12, 2022 |
| Mailing address | Po Box 8459, Portland, OR 97207-8459 |
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