GERALD PEAKE

PORTLAND, OR
NPI1912036872
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR  200450028NP)
Enumeration Date2007-03-05
Last Update Date2007-07-08
Business Address
-- GERALD PEAKE PMHNP
506 SW 6TH AVE
PORTLAND, OR 97204-1533
Phone number: 503-223-5525
Mailing Address
-- GERALD PEAKE PMHNP
14600 NW CORNELL RD
PORTLAND, OR 97229-5442
Phone number: 503-645-3581