Individual
GERALD PEAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
506 SW 6TH AVE, PORTLAND, OR 97204-1533
(503) 223-5525
(503) 223-9091
Mailing address
14600 NW CORNELL RD, PORTLAND, OR 97229-5442
(503) 645-3581
(503) 533-0152
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
200450028NP
OR
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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