Chris Albert Petersen, PAC

NPI #1952393241 in Salem, Oregon

Provider Information

NPI Number
1952393241
Entity Type
Individual
Name
Chris Albert Petersen, PAC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Surgical
Credential
PAC
Enumeration Date
Aug 22, 2005
Last Updated
Aug 19, 2009

Practice Location

Address
875 OAK ST SE
Address 2
SUITE 5020
City
Salem
State
Oregon
ZIP Code
97301-3975
Phone
(503) 226-6321

Specialties & Taxonomy Codes

Specialty
Physician Assistant - SurgicalSurgical

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