# PEAVEY MEDICAL PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144668534
- **Authorized official:** ELISA ANN PEAVEY D.O. (DOCTOR OF OSTEOPATHY)
- **Authorized official phone:** (541) 889-2229

## Contact information

- **Practice address:** 1219 SW 4TH AVE UNIT 2, ONTARIO, OR 97914-4500
- **Practice address phone:** (541) 889-2229
- **Mailing address:** 1219 SW 4TH AVE UNIT 2, ONTARIO, OR 97914-4500
- **Mailing address phone:** (541) 889-2229

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | DO161883 | OR | Yes |

## Other

- **Enumeration date:** 06/07/2013
- **Last updated:** 06/07/2013