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1164936985
JACOB DUANE PETERS
BEAVERTON, OR
NPI
1164936985
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR PA185067)
Enumeration Date
2017-12-01
Last Update Date
2019-02-11
Business Address
JACOB DUANE PETERS PA-C
2725 SW CEDAR HILLS BLVD STE 2A
BEAVERTON, OR 97005-1344
Phone number: 503-352-6000
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Mailing Address
JACOB DUANE PETERS PA-C
PO BOX 6149
ALOHA, OR 97007-0149
Phone number: 503-359-8501
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