Individual
VANESSA L PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10201 SE MAIN ST, PORTLAND LUNG CLINIC, PORTLAND, OR 97216-2937
(503) 253-2248
Mailing address
10201 SE MAIN ST STE 11, PORTLAND LUNG CLINIC, PORTLAND, OR 97216-2937
(503) 253-2248
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
MD151179
OR
207RS0012X
Sleep Medicine (Internal Medicine) Physician
MD60237646
WA
Other
Enumeration date
04/05/2007
Last updated
10/12/2012
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