Individual
DR. MICHAEL S PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1218 NW 21ST AVE, PORTLAND, OR 97209-1609
(503) 226-2574
Mailing address
1218 NW 21ST AVE, PORTLAND, OR 97209-1609
(503) 226-2574
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2900
OR
Other
Enumeration date
05/28/2010
Last updated
05/28/2010
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