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1174793301
RYAN CARL PETERING
PORTLAND, OR
NPI
1174793301
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207QS0010X Family Medicine, Sports Medicine
(Licence: OR MD29263)
Enumeration Date
2008-03-04
Last Update Date
2010-09-03
Business Address
Dr. RYAN CARL PETERING MD
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-9992
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Mailing Address
Dr. RYAN CARL PETERING MD
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-9992
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