Bernardo, Peter Augusto
Bernardo, Peter Augusto is an sole proprietor health care provider with primary practice located at 700 Bellevue St Se Suite 230, Salem OR 97301-3819. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bernardo, Peter Augusto can be contacted via phone (503) 585-6586.Contact Information
Primary practice address
700 Bellevue St Se Suite 230
Salem OR 97301-3819
Phone: (503) 585-6586
Fax: (503) 371-4180
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 17631 | Oregon |
Profile Details
| NPI number | 1053302943 |
|---|---|
| LBN Legal business name | Bernardo, Peter Augusto |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 31st, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053302943 | NPPES |
| Oregon | MEDICAID | 044458 |
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