Individual
PETER T WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9701 SW BARNES RD, SUITE 299, PORTLAND, OR 97225-6772
(503) 297-3660
(503) 297-7637
Mailing address
9701 SW BARNES RD, SUITE 299, PORTLAND, OR 97225-6772
(503) 297-3660
(503) 297-7637
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
MD11910
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125179
—
OR
Enumeration date
11/16/2005
Last updated
10/12/2007
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