Individual
DR. BO PENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
500 SW RAMSEY AVE, GRANTS PASS, OR 97527-5554
(541) 472-7000
(541) 472-7107
Mailing address
PROVIDENCE REGIONAL MEDICAL CENTER EVERETT, 1321 COLBY AVENUE SUITE B400, EVERETT, WA 98201
(425) 297-5234
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD219002
OR
Other
Enumeration date
05/04/2021
Last updated
07/03/2024
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