David Russell Peter in Portland - Family Medicine

David Russell Peter - NPI 1821189309

David Russell Peter is a Family Medicine in Portland, Oregon. David Russell Peter practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for David Russell Peter is 1821189309. The last update date is 2007-07-08.

David Russell Peter's current location address is 6640 Sw Redwood Lane, Portland, Oregon. You can contact this provider via phone number 5036207358 and fax number 5032214451. The mailing address for David Russell Peter is 6640 Sw Redwood Lane, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name David Russell Peter
Address 6640 Sw Redwood Lane, Portland, Oregon
Phone Number 5036207358
Fax Number 5032214451
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1821189309
Provider Enumeration Date 2006-09-27
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 6640 Sw Redwood Lane
City Portland
State Oregon (OR)
Post Code 97224
Phone Number 5036207358
Fax Number 5032214451

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No MD18632
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
58268 OR --

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FAQs about David Russell Peter

What is the unique 10-digit identification code issued to David Russell Peter by the Centers for Medicare & Medicaid Services?

The David Russell Peter has been assigned the NPI (National Provider Identifier) 1821189309 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where David Russell Peter's facilities are geographically located?

The facilities of David Russell Peter are physically situated at the following location: 6640 Sw Redwood Lane, Portland, OR, 97224.

What is David Russell Peter's specialized field of practice, and what is the corresponding taxonomy classification code?

The David Russell Peter's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.

On what date did David Russell Peter receive its 1821189309 assignment from the Centers for Medicare & Medicaid Services?

The David Russell Peter was assigned its 1821189309 on 2006-09-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to David Russell Peter most recently updated or revised?

The details related to David Russell Peter, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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