Larry Len Peterson M.D.

NPI 1043273907 - Dermatology - 207N00000X

NPI Details
NPI 1043273907
Gender Male
Enumeration Date 04/10/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
16877 65TH AVE
LAKE OSWEGO OR, 97035-7865, US
Phone (503) 620-3376
Fax (503) 684-8554
Business Location
16877 65TH AVE
LAKE OSWEGO OR, 97035-7865, US
Phone (503) 620-3376
Fax (503) 684-8554
Toxanomy
Taxonomy Code 207N00000X
License State Oregon
License Number MD12848
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According to our database, Dr. Larry Len Peterson M.D. NPI is 1043273907, taxonomy code is 207N00000X and license number is MD12848, license state is located at Oregon. Larry Len Peterson M.D. physically located at 16877 65th Ave, Lake Oswego OR, 97035-7865. NPI Number Larry Len Peterson M.D. has the Individual type.

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1043273907 NPI number is provided on an as is basis without warranty of any kind. 1043273907 is maintained by the National Plan & Provider Enumeration System. The contents of Larry Len Peterson M.D. are for informational purposes only.