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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LISA S PETERSON, MT-BC

Active Sole Proprietor

LISA S PETERSON, MT-BC is a Music Therapist healthcare provider located in FOREST GROVE, Oregon. NPI 1740019850 is currently active in the NPPES registry. Verify at CMS.

Music Therapist · FOREST GROVE, OR

Registration Details

NPI Number
1740019850
Provider Type
Individual
Gender
Female
NPI Issued
Jul 29, 2024 (2.0093135195112 yrs)
Last Updated
Jul 29, 2024
License
MT-T-10174257 (OR)
Sole Proprietor
Yes

Practice Information

Address
2623 12TH AVE
FOREST GROVE, OR, 971163003
Browse OR providers · Browse ZIP 97116
Phone
5039016953
Primary Specialty
Music Therapist
225A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.