Individual
DR. DOUGLAS GEORGE PETERSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3030 SW MOODY AVE, STE 102, PORTLAND, OR 97201-4867
(503) 224-2225
(503) 222-3883
Mailing address
3030 SW MOODY AVE, STE 102, PORTLAND, OR 97201-4867
(503) 224-2225
(503) 222-3883
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
271570
OR
Other
Enumeration date
11/30/2005
Last updated
07/08/2007
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