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MRS. LESLIE LUCINDA PETERSON RDH, OMT
NPI 1922689207
Specialist in Beaverton, OR

Active since April 18, 2021
6590 SW FALLBROOK PL STE 2, BEAVERTON, OR 97008(503) 922-6636 Get Directions Write a Review

NPPES record last updated: April 24, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 24, 2021, Apr 18, 2021 (2 updates tracked since 2021).

About Mrs. Leslie Lucinda Peterson Rdh, Omt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. LESLIE LUCINDA PETERSON RDH, OMT (NPI 1922689207) is an individual specialist in Beaverton, Oregon and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1922689207
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMRS. LESLIE LUCINDA PETERSONCredential: RDH, OMT
Location Address6590 SW FALLBROOK PL STE 2Beaverton, OR 97008-5465
Mailing Address6590 Sw Fallbrook Pl Ste 2Beaverton, OR 97008-5465 · (503) 922-6636
Phone(503) 922-6636
Sole ProprietorYes
Enumeration DateApril 18, 2021
Last NPPES UpdateApril 24, 20212 updates tracked since enumeration
NPPES CertifiedApril 24, 2021
✔ NPI 1922689207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
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.

Also ListedDental HygienistTaxonomy 124Q00000X
6590 SW FALLBROOK PL STE 2, Beaverton, OR 97008
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leslie Peterson's NPI number?

The NPI number for Leslie Peterson is 1922689207. It was assigned to this individual provider in the NPPES registry on April 18, 2021.

Where is Leslie Peterson located?

Leslie Peterson practices at 6590 SW Fallbrook Pl Ste 2, Beaverton, OR 97008. The listed phone number is (503) 922-6636.

What is Leslie Peterson's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Leslie Peterson was last updated on April 24, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.