Brown, Peter Ackerson
Brown, Peter Ackerson is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd , Portland OR 97239-3011. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Brown, Peter Ackerson can be contacted via phone (503) 494-7772.Contact Information
Primary practice address
3181 Sw Sam Jackson Park Rd
Portland OR 97239-3011
Phone: (503) 494-7772
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | OP61276957 | Washington |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | DO209910 | Oregon |
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 34.014066 | Ohio |
Profile Details
NPI number | 1083019574 |
---|---|
LBN Legal business name | Brown, Peter Ackerson |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 27th, 2014 |
Last updated | Apr 5th, 2024 - about 7 months 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 | 1083019574 | NPPES |
Ohio | MEDICAID | 0402045 |
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