Individual
DR. PETER AUGUSTO BERNARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
700 BELLEVUE ST SE, SUITE 230, SALEM, OR 97301-3819
(503) 585-6586
(503) 371-4180
Mailing address
700 BELLEVUE ST SE, SUITE 230, SALEM, OR 97301-3819
(503) 585-6586
(503) 371-4180
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
17631
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044458
—
OR
Enumeration date
10/31/2005
Last updated
07/08/2007
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