Individual
JAMES J PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, OP 11, PORTLAND, OR 97239-3011
(503) 494-7145
(503) 494-4324
Mailing address
3181 SW SAM JACKSON PARK RD, OP 11, PORTLAND, OR 97239-3011
(503) 494-7145
(503) 494-4324
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD12734
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262477
—
OR
Enumeration date
07/03/2006
Last updated
05/11/2010
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