Individual
RALPH G PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1410 OAK ST, SUITE 200, EUGENE, OR 97401-4604
(541) 485-2357
(541) 485-2358
Mailing address
1410 OAK ST, SUITE 200, EUGENE, OR 97401-4604
(541) 485-2357
(541) 485-2358
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA00258
OR
Other
Enumeration date
06/28/2006
Last updated
03/12/2013
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