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Individual

DR. GUILLAUME JOE PEGNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-6594
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-6594

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD046068
DC
207RX0202X
Medical Oncology Physician
Primary
MD204764
OR

Other

Enumeration date
06/01/2015
Last updated
08/16/2021
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