David Russell Peter, MD
Family Medicine in Portland, OR. Individual provider (NPI-1).
NPI number1821189309
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1821189309
- Entity type
- Individual (NPI-1)
- Name
- David Russell Peter
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 27, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD18632 | OR | Yes |
Practice location
6640 Sw Redwood LanePortland, OR 97224
Phone 503-620-7358 · Fax 503-221-4451
Mailing address
6640 Sw Redwood LanePortland, OR 97224
Phone 503-620-7358 · Fax 503-221-4451
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