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1881919918
SHANE EMBER PETERSON
SALEM, OR
NPI
1881919918
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: OR MD171431)
Enumeration Date
2010-03-31
Last Update Date
2018-05-03
Business Address
Dr. SHANE EMBER PETERSON M.D.
890 OAK ST SE
SALEM, OR 97301-3905
Phone number: 503-814-1278
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Mailing Address
Dr. SHANE EMBER PETERSON M.D.
890 OAK ST SE
SALEM, OR 97301-3905
Phone number: 503-814-1278
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