Search › Oregon › 1223S0112X
Jake Peterson, DDS, MD
NPI 1043657364 · on the registry since 2013 · sole proprietor
Practice
- Address
- 1475 Sw Chandler Ave Ste 101
Bend, OR 97702 - Phone
- (541) 617-3993
- Organisation at this address
- K & L Oms Llc
Struble Orthodontics, Llc
Deschutes Pediatric Dentistry Pc
Central Oregon Radiology Assoc., P.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Additional practice sites
- 1475 Ne Williamson Blvd, Bend, OR
Registry record
- Primary taxonomy
- 1223S0112X
1223S0112X
- Also registered as
- 1223S0112X
1223S0112X - Licence states on file
- ID, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-03-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon