PETER BODMER

SALEM, OR
NPI1639570120
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OR  PA174107)
Enumeration Date2014-09-16
Last Update Date2021-03-03
Business Address
PETER BODMER
255 LANCASTER DR NE
SALEM, OR 97301-5155
Phone number: 503-576-8400
Mailing Address
PETER BODMER
255 LANCASTER DR NE
SALEM, OR 97301-5155
Phone number: 503-576-8400