Banitt, Peter Frederick

Banitt, Peter Frederick is an individual health care provider with primary practice located at 19260 Sw 65Th Ave Ste 420 , Tualatin OR 97062-5712. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Banitt, Peter Frederick can be contacted via phone (503) 692-0405.

Contact Information

Primary practice address
19260 Sw 65Th Ave Ste 420 Tualatin OR 97062-5712
Phone: (503) 692-0405
Fax: (503) 274-5400
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD21525 Oregon
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X MD21525 Oregon

Profile Details

NPI number 1831194737
LBN Legal business name Banitt, Peter Frederick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Nov 21st, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831194737 NPPES
Oregon MEDICAID 139455
Oregon MEDICAID 1092913

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