Peterson, Devon D

Peterson, Devon D is an individual health care provider with primary practice located at 3043 Ne 28Th St , Lincoln City OR 97367-4518. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Peterson, Devon D can be contacted via phone (541) 994-3661.

Contact Information

Primary practice address
3043 Ne 28Th St Lincoln City OR 97367-4518
Phone: (541) 994-3661
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 53425214406 Utah
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 10004847 Oregon

Profile Details

NPI number 1245278035
LBN Legal business name Peterson, Devon D
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Jul 27th, 2023 - about last year

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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