Robert William Peterson MD

NPI 1104938380 - Pediatrics - 208000000X

NPI Details
NPI 1104938380
Gender Male
Enumeration Date 08/31/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3550 N INTERSTATE AVE
KAISER PERMANENTE INTERSTATE MEDICAL OFFICE EAST
PORTLAND OR, 97227-1196, US
Phone (503) 331-3078
Fax
Business Location
3550 N INTERSTATE AVE
KAISER PERMANENTE INTERSTATE MEDICAL OFFICE EAST
PORTLAND OR, 97227-1196, US
Phone
Fax
Toxanomy
Taxonomy Code 208000000X
License State Washington
License Number 30984
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According to our database, Robert William Peterson MD NPI is 1104938380, taxonomy code is 208000000X and license number is 30984, license state is located at Washington. Robert William Peterson MD physically located at 3550 N Interstate Ave, Portland OR, 97227-1196. NPI Number Robert William Peterson MD has the Individual type.

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1104938380 NPI number is provided on an as is basis without warranty of any kind. 1104938380 is maintained by the National Plan & Provider Enumeration System. The contents of Robert William Peterson MD are for informational purposes only.