Individual
MR. PETER ANTHONY PRIMIANO II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2211 E. MILL PLAIN BV.,, VANCOUVER, WA 98661-4399
(360) 449-7009
Mailing address
7007 NE SACRAMENTO ST, PORTLAND, OR 97213-4756
(503) 288-2909
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
OR PA00152
OR
363A00000X
Physician Assistant
Primary
WA PA10003987
WA
Other
Enumeration date
09/20/2006
Last updated
03/26/2008
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