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Blair Peters
NPI 1871147876 · on the registry since 2019
Practice
- Address
- 3181 Sw Sam Jackson Park Rd # L352a
Portland, OR 97239 - Phone
- (503) 494-7824
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 208200000X
208200000X
- Also registered as
- 2086S0122X
- Licence states on file
- MO, OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-04-28
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