MICHAEL PETERSON

ROSEBURG, OR
NPI1144885575
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OR  PA197860)
Enumeration Date2019-05-01
Last Update Date2020-10-01
Business Address
MICHAEL PETERSON PA-C
2801 NW MERCY DR STE 300
ROSEBURG, OR 97471-2348
Phone number: 541-677-1555
Mailing Address
MICHAEL PETERSON PA-C
201 NW MEDICAL LOOP STE 190
ROSEBURG, OR 97471-8835
Phone number: 541-677-4319
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