David Pettersson M.D.

NPI 1639313273 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1639313273
Gender Male
Enumeration Date 04/27/2009
Last Updated 05/13/2014
Entity Type Individual
Active Over 7 years ago
Practice Location
OHSU, 3181 SW SAM JACKSON PARK ROAD
PORTLAND OR, 97239, US
Phone (503) 494-8211
Fax
Business Location
7034 SE 21ST AVE
PORTLAND OR, 97202-5748, US
Phone (503) 757-4268
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, David Pettersson M.D. NPI is 1639313273, taxonomy code is 390200000X David Pettersson M.D. physically located at Ohsu, 3181 Sw Sam Jackson Park Road, Portland OR, 97239. NPI Number David Pettersson M.D. has the Individual type.

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1639313273 NPI number is provided on an as is basis without warranty of any kind. 1639313273 is maintained by the National Plan & Provider Enumeration System. The contents of David Pettersson M.D. are for informational purposes only.