Individual
DR. ALFRED PETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
11679 NE GLISAN ST, PORTLAND, OR 97220-2264
(503) 258-9592
Mailing address
12303 SE HUBBARD RD, CLACKAMAS, OR 97015-8218
(503) 698-9631
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
1278
OR
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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