Individual
VIRGIL E PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1475 MOUNT HOOD AVE, WOODBURN, OR 97071-9066
(971) 983-5360
(971) 983-5370
Mailing address
660 MAY ST, MOUNT ANGEL, OR 97362-9597
(503) 845-2428
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
7002
OR
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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