Individual
PEGGY ANN BRADLEY PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
3500 N INTERSTATE AVE, PORTLAND, OR 97227-1196
(503) 249-5511
Mailing address
14653 NW DAWNWOOD DR, PORTLAND, OR 97229-1563
(503) 617-1405
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
200550062NP
OR
Other
Enumeration date
11/01/2007
Last updated
12/17/2021
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