Organization
DR TIMOTHY PETERS
Active
Other names
Nw family mediine
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
(503) 873-8923
Mailing address
605 WELCH ST, SILVERTON, OR 97381-1946
(503) 873-6987
(503) 873-8923
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
MD17287
OR
302R00000X
Health Maintenance Organization
MD17287
OR
Other
Enumeration date
10/17/2007
Last updated
10/17/2007
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