Polly Rose Peterson, is a
Counselor - Mental Health based in Dundee, Oregon. Polly Rose Peterson is licensed to practice in * (Not Available) (license number ) and her current practice location is
453 Sw Viewmont Dr, Dundee, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 997-4805.
NPI number for Polly Rose Peterson is 1881484988 and her current mailing address is 453 Sw Viewmont Dr, Dundee, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1881484988.
Healthcare Provider's Profile
Full Name | Polly Rose Peterson |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 453 Sw Viewmont Dr, Dundee, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1881484988
- Provider Enumeration Date: 05/12/2025
- Last Update Date: 05/12/2025
Medical Identifiers
Medical identifiers for Polly Rose Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881484988 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Polly Rose Peterson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Polly Rose Peterson, 453 Sw Viewmont Dr, Dundee, OR 97115-9508 Ph: (503) 997-4805 | Polly Rose Peterson, 453 Sw Viewmont Dr, Dundee, OR 97115-9508 Ph: (503) 997-4805 |
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