Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jennifer Rose Peterson, LAC

Individual provider Massage Therapist · NPI 1639633985

Jennifer Rose Peterson, LAC is a Massage Therapist in Corbett, Oregon. Licensed in Oregon. Registered with an NPI since 2019.

Licensed in
OR
In the registry since
2019
Specialties on file
2
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

39420 SE Gordon Creek Rd
Corbett, OR 97019-8750
Phone: (503) 695-2977
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence AC189963 (OR)
Massage Therapist Taxonomy 225700000X · Licence 20187 (OR)

Record details

NPI number1639633985
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAC
Sole proprietorNo
NPI enumeratedJanuary 30, 2019
Last updated in NPPESJanuary 30, 2019
Mailing address4536 Ne 30th Ave, Portland, OR 97211-7136

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