Peterson, Keven

Peterson, Keven is an individual health care provider with primary practice located at 2490 Ne Highway 99W , Mcminnville OR 97128-9204. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Peterson, Keven can be contacted via phone (503) 435-3125.

Contact Information

Primary practice address
2490 Ne Highway 99W Mcminnville OR 97128-9204
Phone: (503) 435-3125
Fax: (503) 435-3128
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RPH-0014096 Oregon
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X RPH-0014096 Oregon

Profile Details

NPI number 1194101873
LBN Legal business name Peterson, Keven
Credentials 1835P0018X
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2015
Last updated Dec 24th, 2015 - about 9 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 1194101873 NPPES
Other RPH-0014096 PHARMACY

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