Individual
SKYE J PELTIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, MAIL CODE CDRC, PORTLAND, OR 97239-3011
(503) 494-8716
(503) 494-2721
Mailing address
3181 SW SAM JACKSON PARK RD, MAIL CODE CDRC, PORTLAND, OR 97239-3011
(503) 494-8716
(503) 494-2721
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
9999
MN
363A00000X
Physician Assistant
Primary
PA170083
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
448159300
—
MN
Enumeration date
03/14/2006
Last updated
10/23/2014
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