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Organization
PEAK MEDICAL GROUP LLC
Active
Organization
PEAK MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL PATRICK SMITH DNP, FNP-C (MEDICAL DIRECTOR)
(360) 718-0968
Entity
Organization
Contact information
Practice address
8770 SW ILLAHEE CT APT 310, WILSONVILLE, OR 97070-8488
(360) 718-0968
(503) 536-6671
Mailing address
8770 SW ILLAHEE CT APT 310, WILSONVILLE, OR 97070-8488
(360) 718-0968
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/10/2019
Last updated
08/20/2019
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