| Mrs Rocio Petersen, MS, RDN | |
|
3896 Beverly Ave Ne Ste 40, Salem, OR 97305-1374 | |
| (503) 588-0076 | |
| (503) 655-8595 |
| Full Name | Mrs Rocio Petersen |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 3896 Beverly Ave Ne Ste 40, Salem, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982094645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | LD-D-10196306 (Oregon) | Primary |
| Provider Name | Yakima Valley Farm Workers Clinic |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1427001940 PECOS PAC ID: 4385541986 Enrollment ID: O20040116001020 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Rocio Petersen, MS, RDN 3896 Beverly Ave Ne Ste 40, Salem, OR 97305-1374 Ph: (503) 588-0076 | Mrs Rocio Petersen, MS, RDN 3896 Beverly Ave Ne Ste 40, Salem, OR 97305-1374 Ph: (503) 588-0076 |
Catherine M Larrouy, RD, LD Dietitian Medicare: Medicare Enrolled Practice Location: 255 Lancaster Dr Ne, Salem, OR 97301 Phone: 503-576-8360 | |
Vicki Lynn Duesterhoeft, MS, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2600 Center St Ne, Salem, OR 97301 Phone: 503-945-9826 Fax: 503-945-9864 | |
Rita Annette Giles, MPH, RD, LD, CNSC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2755 Commercial St Se # 101-133, Salem, OR 97302 Phone: 209-765-3158 | |
Sterling Recovery, Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3758 Amber St Ne #105, Salem, OR 97301 Phone: 971-273-8668 Fax: 833-390-2537 | |
Mrs. Sara Christine Sackett, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4163 Sunray Ave S., Salem, OR 97302 Phone: 619-372-9799 | |
Heather Loch, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2600 Center St Ne, Salem, OR 97301 Phone: 503-945-2800 | |
Connie Jo Mickelson, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2600 Center St Ne, Salem, OR 97301 Phone: 503-945-2800 |