Preston Lane Peterson in Portland - Geriatric Medicine

Preston Lane Peterson - NPI 1245201508

Preston Lane Peterson is a Geriatric Medicine in Portland, Oregon. Preston Lane Peterson practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Preston Lane Peterson is 1245201508. The last update date is 2022-02-04.

Preston Lane Peterson's current location address is 2701 Nw Vaughn St, Portland, Oregon. You can contact this provider via phone number 5034995200 and fax number 5034995455. The mailing address for Preston Lane Peterson is 2701 Nw Vaughn St, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Preston Lane Peterson
Address 2701 Nw Vaughn St, Portland, Oregon
Phone Number 5034995200
Fax Number 5034995455
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1245201508
Provider Enumeration Date 2006-01-26
Last Updated Date 2022-02-04

Provider Mailing Address Detail

Address 2701 Nw Vaughn St
City Portland
State Oregon (OR)
Post Code 972105311
Phone Number 5034995200
Fax Number 5034995455

Provider's Primary Taxonomy Detail

Speciality Geriatric Medicine
Taxonomy 207Rg0300X
Licence No MD60167468
Definition:
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the of

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FAQs about Preston Lane Peterson

What is the unique identifier code issued to Preston Lane Peterson by the Centers for Medicare & Medicaid Services?

The Preston Lane Peterson has been assigned the NPI (National Provider Identifier) 1245201508. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Preston Lane Peterson's facilities are geographically located?

The facilities of Preston Lane Peterson are physically situated at the following location: 2701 Nw Vaughn St, Portland, OR, 972105311.

What is Preston Lane Peterson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Preston Lane Peterson's specialized field of practice is Geriatric Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Rg0300X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1245201508 to Preston Lane Peterson?

The Centers for Medicare & Medicaid Services originally issued the 1245201508 to Preston Lane Peterson on 2006-01-26.

As of what date was the information regarding Preston Lane Peterson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Preston Lane Peterson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-02-04.

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