Organization
NORTHWEST FAMILY MEDICINE L.L.C.
Active
Other names
none
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY ROY PETERS MD (OWNER)
(503) 873-6987
Entity
Organization
Contact information
Practice address
605 WELCH ST, SILVERTON, OR 97381-1946
(503) 873-6987
Mailing address
605 WELCH ST, SILVERTON, OR 97381-1946
(503) 873-6987
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
MD17287
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124234703
NW FAMILY MED NPI
OR
01
—
1205807112
DR ERIC NORTH NPI
OR
01
—
1336110469
NPI DR PHOENIX NORTH
OR
01
—
1376511998
DR TIM PETERS NPI
OR
01
—
1427127057
DR SARAH PETERS NPI
OR
01
—
R103594
GROUP NUMBER
OR
Enumeration date
05/14/2007
Last updated
02/12/2015
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