Individual
DR. RICHARD PEFFLEY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
350 MILLER ST SE, SALEM, OR 97302-4248
(503) 370-8784
(503) 362-4017
Mailing address
350 MILLER ST SE, SALEM, OR 97302-4248
(503) 370-8784
(503) 362-4017
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DP00219
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001
WPS TRICARE CLAIMS PIN
OR
01
—
054437000
REGENCE BLUECROSS BLUESHI
OR
05
—
065941
—
OR
01
—
1148590001
DMERC PIN
OR
01
—
305976
PROVIDENCE HEALTH PIN
OR
01
—
480018560
RAILROAD RETIREMENT PIN
OR
01
—
953534163
ODS PIN
OR
01
—
9535341630000
TRICARE NORTHWEST PIN
OR
01
—
9535341630000E
MAILHANDLERS PIN
OR
01
—
953534163002
UHC PIN
OR
01
—
DP4Z290
HEALTH NET PIN
OR
01
—
V242001
PACIFIC SOURCE PIN
OR
Enumeration date
07/07/2005
Last updated
07/09/2007
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