Peake, Meredith L.

Peake, Meredith L. is an individual health care provider with primary practice located at 10123 Se Market St , Portland OR 97216-2532. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Peake, Meredith L. can be contacted via phone (503) 251-6129.

Contact Information

Primary practice address
10123 Se Market St Portland OR 97216-2532
Phone: (503) 251-6129
Fax: (310) 698-7054
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X G57718 California
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X MD152960 Oregon

Profile Details

NPI number 1790729838
LBN Legal business name Peake, Meredith L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Jan 27th, 2016 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1790729838 NPPES
California MEDICAID 00G577180

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