Peterson, Sean Luke
Peterson, Sean Luke is an individual health care provider with primary practice located at 10180 Se Sunnyside Rd Ofc Egs , Clackamas OR 97015-8970. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Peterson, Sean Luke can be contacted via phone (503) 813-2000.Contact Information
Primary practice address
10180 Se Sunnyside Rd Ofc Egs
Clackamas OR 97015-8970
Phone: (503) 813-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD61103323 | Washington |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 63579 | Minnesota |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD47700 | Iowa |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 73695-20 | Wisconsin |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD201352 | Oregon |
Profile Details
| NPI number | 1619362001 |
|---|---|
| LBN Legal business name | Peterson, Sean Luke |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 2nd, 2015 |
| Last updated | Dec 2nd, 2021 - about 5 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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