Peffley, Richard
Peffley, Richard is an individual health care provider with primary practice located at 350 Miller St Se , Salem OR 97302-4248. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Peffley, Richard can be contacted via phone (503) 370-8784.Contact Information
Primary practice address
350 Miller St Se
Salem OR 97302-4248
Phone: (503) 370-8784
Fax: (503) 362-4017
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | DP00219 | Oregon |
Profile Details
| NPI number | 1386641231 |
|---|---|
| LBN Legal business name | Peffley, Richard |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Jul 9th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386641231 | NPPES |
| Oregon | MEDICAID | 065941 | |
| Oregon | Other | 9535341630000 | |
| Oregon | Other | 054437000 | |
| Oregon | Other | 953534163 | |
| Oregon | Other | V242001 | |
| Oregon | Other | 9535341630000E | |
| Oregon | Other | DP4Z290 | |
| Oregon | Other | 953534163002 | |
| Oregon | Other | 305976 | |
| Oregon | Other | 480018560 | |
| Oregon | Other | 0001 | |
| Oregon | Other | 1148590001 | |
| Oregon | Other | 480018560 |
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