Individual
DR. KEITH DOUGLAS PETERS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5440 SW WESTGATE DR, SUITE 215, PORTLAND, OR 97221-2420
(503) 297-3756
Mailing address
5440 SW WESTGATE DR, SUITE 215, PORTLAND, OR 97221-2420
(503) 297-3756
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6835
OR
Other
Enumeration date
01/03/2006
Last updated
07/08/2007
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