Michael Peterson, PA-C

NPI #1144885575 in Roseburg, Oregon

Provider Information

NPI Number
1144885575
Entity Type
Individual
Name
Michael Peterson, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
May 1, 2019
Last Updated
Oct 1, 2020

Practice Location

Address
2801 NW MERCY DR STE 300
State
Oregon
ZIP Code
97471-2348
Phone
(541) 677-1555

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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