| Doctor Name: | MS. DEBORAH A PETERSON |
| NPI Number: | 1346200367 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T. |
| License Number: | PT2996 |
| Business Practice Address: | 6821 N Country Homes Blvd Suite 102 Spokane, WA - 992084372 |
| Business Phone Number: | 5093256776 |
| Business Fax Number: | 5093250817 |
| Mailing Address: | 16083 Sw Upper Boones Ferry Rd Ste 300, TIGARD |
| State: | OR |
| Postal Code: | 972247736 |
| Phone Number: | 8002198835 |
| Fax Number: | 5036399699 |
| NPI Enumeration Date: | 03/24/2006 |
| NPI Last Update Date: | 04/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | PT2996 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |