| Doctor Name: | DIANA PETERSON |
| NPI Number: | 1366602682 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S, CCC-A |
| License Number: | HAS-P-1002783 |
| Business Practice Address: | 3099 River Rd S Ste 120 Salem, OR - 973029754 |
| Business Phone Number: | 5034852581 |
| Business Fax Number: | 5034852564 |
| Mailing Address: | 3099 River Rd S, Ste 120 SALEM |
| State: | OR |
| Postal Code: | 973029754 |
| Phone Number: | 5034852581 |
| Fax Number: | 5034852564 |
| NPI Enumeration Date: | 06/10/2008 |
| NPI Last Update Date: | 03/23/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 237700000X |
| License Number: | HAS-P-1002783 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OR |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Hearing Instrument Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |