BRYAN DALE PETERSEN

PORTLAND, OR
NPI1740296292
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0204X Radiology Vascular & Interventional Radiology
(Licence: OR  MD15285)
Enumeration Date2006-08-01
Last Update Date2007-07-08
Business Address
BRYAN DALE PETERSEN MD
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-7660
Mailing Address
BRYAN DALE PETERSEN MD
14930 NW GILLIHAN RD
PORTLAND, OR 97231-1519
Phone number:
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