Dejong, Peter Michael
Dejong, Peter Michael is an individual health care provider with primary practice located at 16770 Sw Edy Rd Ste 102 , Sherwood OR 97140-9679. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Dejong, Peter Michael can be contacted via phone (503) 216-9600.Contact Information
Primary practice address
16770 Sw Edy Rd Ste 102
Sherwood OR 97140-9679
Phone: (503) 216-9600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 2083S0010X | MD212000 | Oregon |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD212000 | Oregon |
Profile Details
| NPI number | 1750887493 |
|---|---|
| LBN Legal business name | Dejong, Peter Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 2nd, 2018 |
| Last updated | Nov 10th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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