Individual
PETER D MEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRM
Contact information
Practice address
8 NW 8TH AVE APT 419, PORTLAND, OR 97209-3702
(971) 888-1101
Mailing address
8 NW 8TH AVE APT 419, PORTLAND, OR 97209-3702
(971) 888-1101
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
24-CRM-2964
OR
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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