Individual
ANNE R PEEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
24800 SE STARK ST, GRESHAM, OR 97030-3378
(503) 413-8407
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD152361
OR
207R00000X
Internal Medicine Physician
MD60201995
WA
208M00000X
Hospitalist Physician
MD152361
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500636139
—
OR
01
—
P01364993
RR MEDICARE - PHS
OR
Enumeration date
09/07/2007
Last updated
11/12/2021
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