Peterson, Robert William

Peterson, Robert William is an individual health care provider with primary practice located at 3550 N Interstate Ave Kaiser Permanente Interstate Medical Office East, Portland OR 97227-1196. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Peterson, Robert William can be contacted via phone (503) 331-3078.

Contact Information

Primary practice address
3550 N Interstate Ave Kaiser Permanente Interstate Medical Office East Portland OR 97227-1196
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 30984 Washington
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 30984 Oregon

Profile Details

NPI number 1104938380
LBN Legal business name Peterson, Robert William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 8th, 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.

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