Individual
PEGGY J SEILER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19757 RIVER RD UNIT 87, GLADSTONE, OR 97027-2213
(503) 724-0737
Mailing address
19757 RIVER RD UNIT 87, GLADSTONE, OR 97027-2213
(503) 724-0737
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
716086
—
OR
05
—
792813
—
OR
Enumeration date
06/03/2016
Last updated
06/03/2016
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