Individual
DR. ROBERT DAVID PEEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5045 SW 77TH AVE, PORTLAND, OR 97225-1812
(503) 297-1096
(503) 296-7240
Mailing address
5060 OAKRIDGE RD, LAKE OSWEGO, OR 97035-3312
(503) 635-7975
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1719AT
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
194712
—
OR
Enumeration date
10/24/2005
Last updated
03/02/2011
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