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1942794839
MICHAEL PETERSON
PORTLAND, OR
NPI
1942794839
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2018-06-14
Last Update Date
2018-06-14
Business Address
MICHAEL PETERSON PA-C
3181 SW SAM JACKSON PARK RD # P31
PORTLAND, OR 97239-3098
Phone number: 503-494-8991
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Mailing Address
MICHAEL PETERSON PA-C
7117 SE EVERGREEN HWY
VANCOUVER, WA 98664-1631
Phone number: 360-448-3027
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