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
Phone: (503) 331-3078
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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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