Individual
PETER JOSEF ST GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
16180 SE SUNNYSIDE RD STE 102, HAPPY VALLEY, OR 97015-6302
(503) 582-4900
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO219866
OR
Other
Enumeration date
04/21/2021
Last updated
10/03/2024
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