MICHAEL PETERSON

PORTLAND, OR
NPI1942794839
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: OR  PA189053)
Enumeration Date2018-06-14
Last Update Date2026-03-19
Business Address
MICHAEL PETERSON PA-C
3181 SW SAM JACKSON PARK RD # P31
PORTLAND, OR 97239-3098
Phone number: 503-494-8991
Mailing Address
MICHAEL PETERSON PA-C
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-6400
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