Peters, Jacob Duane
Peters, Jacob Duane is an individual health care provider with primary practice located at 2725 Sw Cedar Hills Blvd Ste 2A , Beaverton OR 97005-1344. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Peters, Jacob Duane can be contacted via phone (503) 352-6000.Contact Information
Primary practice address
2725 Sw Cedar Hills Blvd Ste 2A
Beaverton OR 97005-1344
Phone: (503) 352-6000
Fax: (503) 434-8597
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | PA185067 | Oregon |
Profile Details
| NPI number | 1164936985 |
|---|---|
| LBN Legal business name | Peters, Jacob Duane |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2017 |
| Last updated | Feb 11th, 2019 - about 7 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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