Ian Peters

NPI 1154525343 - Counselor - 101Y00000X

NPI Details
NPI 1154525343
Gender Male
Enumeration Date 06/12/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3415 SE POWELL BLVD
PORTLAND OR, 97202-3371, US
Phone (503) 234-9591
Fax
Business Location
3415 SE POWELL BLVD
PORTLAND OR, 97202-3371, US
Phone
Fax
Toxanomy
Taxonomy Code 101Y00000X
License State
License Number
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According to our database, Ian Peters NPI is 1154525343, taxonomy code is 101Y00000X Ian Peters physically located at 3415 Se Powell Blvd, Portland OR, 97202-3371. NPI Number Ian Peters has the Individual type.

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1154525343 NPI number is provided on an as is basis without warranty of any kind. 1154525343 is maintained by the National Plan & Provider Enumeration System. The contents of Ian Peters are for informational purposes only.