Organization
PETER A HINCKLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER A HINCKLE MD (OWNER)
(503) 316-1970
Entity
Organization
Contact information
Practice address
600 NE AVALON PL, CORVALLIS, OR 97330-9258
(503) 316-1970
(503) 391-7422
Mailing address
600 NE AVALON PL, CORVALLIS, OR 97330-9258
(503) 316-1970
(503) 391-7422
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD18129
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
057443
—
OR
Enumeration date
06/20/2007
Last updated
08/22/2007
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