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1225020514
RONALD RAYMOND PETERSEN
PORTLAND, OR
NPI
1225020514
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: OR MD13668)
Enumeration Date
2005-08-22
Last Update Date
2021-11-12
Business Address
RONALD RAYMOND PETERSEN MD
1111 NE 99TH AVE SUITE 201
PORTLAND, OR 97220-9428
Phone number: 503-962-1000
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Mailing Address
RONALD RAYMOND PETERSEN MD
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494
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