DEAN KYLE PETERSON

TUALATIN, OR
NPI1033559869
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: OR  MD186971)
Additional Taxonomies207R00000X Internal Medicine
(Licence: OR  PG178578)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2013-06-25
Last Update Date2018-07-05
Business Address
DEAN KYLE PETERSON MD
19300 SW 65TH AVE
TUALATIN, OR 97062
Phone number: 503-413-8407
Mailing Address
DEAN KYLE PETERSON MD
PO BOX 3777
PORTLAND, OR 97208-3777
Phone number: 503-413-3900