Individual
SAMANTHA VIOLA DOUGHERTY PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2821 DAGGETT AVE STE 200, KLAMATH FALLS, OR 97601-1130
(541) 274-8400
(541) 274-8405
Mailing address
1939 VAN NESS AVE, KLAMATH FALLS, OR 97601-1879
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA182657
OR
Other
Enumeration date
12/06/2017
Last updated
11/16/2022
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