CHRIS ALBERT PETERSEN

SALEM, OR
NPI1952393241
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: OR  PA00211)
Enumeration Date2005-08-22
Last Update Date2009-08-19
Business Address
-- CHRIS ALBERT PETERSEN PAC
875 OAK ST SE SUITE 5020
SALEM, OR 97301-3975
Phone number: 503-226-6321
Mailing Address
-- CHRIS ALBERT PETERSEN PAC
975 SE SANDY BLVD SUITE 200
PORTLAND, OR 97214-1308
Phone number: 503-963-2846
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