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1043273907
LARRY LEN PETERSON
LAKE OSWEGO, OR
NPI
1043273907
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: OR MD12848)
Enumeration Date
2006-04-10
Last Update Date
2007-07-08
Business Address
Dr. LARRY LEN PETERSON M.D.
16877 65TH AVE
LAKE OSWEGO, OR 97035-7865
Phone number: 503-620-3376
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Mailing Address
Dr. LARRY LEN PETERSON M.D.
16877 65TH AVE
LAKE OSWEGO, OR 97035-7865
Phone number: 503-620-3376
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