Peterson, Jaime Wildman
Peterson, Jaime Wildman is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd , Portland OR 97239. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Peterson, Jaime Wildman can be contacted via phone (503) 418-5700.Contact Information
Primary practice address
3181 Sw Sam Jackson Park Rd
Portland OR 97239
Phone: (503) 418-5700
Fax: (503) 418-5704
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD190221 | Oregon |
Profile Details
| NPI number | 1629334180 |
|---|---|
| LBN Legal business name | Peterson, Jaime Wildman |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 9th, 2012 |
| Last updated | Nov 30th, 2018 - 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.
Popular Providers
-
Carr, Elizabeth A
2525 Nw Lovejoy St Ste 200, Portland OR 97210-2863 -
Kingsbury, Daniel Joseph
501 N Graham St Ste 355 , Portland OR 97227-2005 -
Barletta, Gina-Marie
3181 Sw Sam Jackson Park Rd , Portland OR 97239-3011 -
Birk, Bruce J
2525 Nw Lovejoy St Ste 200, Portland OR 97210-2863 -
Evans-Smith, Mari Kay
2525 Nw Lovejoy St Ste 200, Portland OR 97210-2863 -
Mccord, James P
2801 N Gantenbein Ave , Portland OR 97227-1623 -
Rosenbloom, Jay S.
2525 Nw Lovejoy St Ste 200, Portland OR 97210-2863 -
Horowitz, Paul
2800 N Vancouver Ave Suite 165, Portland OR 97227-1630