Rivers, Peggy J

Rivers, Peggy J is an individual health care provider with primary practice located at 17175 Sw Tv Hwy Ste B2 , Aloha OR 97006-4584. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Rivers, Peggy J can be contacted via phone (503) 941-3017.

Contact Information

Primary practice address
17175 Sw Tv Hwy Ste B2 Aloha OR 97006-4584
Phone: (503) 941-3017
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 200250074NP ANP-PP Oregon
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP30006298 Washington

Profile Details

NPI number 1134114739
LBN Legal business name Rivers, Peggy J
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Dec 9th, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1134114739 NPPES
Other 825622005 BLUE CROSS/BLUE SHIELD/TRIWEST
Other 0009 BLUE CROSS/BLUE SHIELD/TRIWEST

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