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1912036872
GERALD PEAKE
PORTLAND, OR
NPI
1912036872
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR 200450028NP)
Enumeration Date
2007-03-05
Last Update Date
2007-07-08
Business Address
-- GERALD PEAKE PMHNP
506 SW 6TH AVE
PORTLAND, OR 97204-1533
Phone number: 503-223-5525
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Mailing Address
-- GERALD PEAKE PMHNP
14600 NW CORNELL RD
PORTLAND, OR 97229-5442
Phone number: 503-645-3581
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