Individual
ROBERT WILLIAM PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3550 N INTERSTATE AVE, KAISER PERMANENTE INTERSTATE MEDICAL OFFICE EAST, PORTLAND, OR 97227-1196
(503) 331-3078
Mailing address
3550 N INTERSTATE AVE, KAISER PERMANENTE INTERSTATE MEDICAL OFFICE EAST, PORTLAND, OR 97227-1196
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
30984
OR
208000000X
Pediatrics Physician
30984
WA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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