Peterson, Preston Lane
Peterson, Preston Lane is an individual health care provider with primary practice located at 2701 Nw Vaughn St Suite 160, Portland OR 97210-5311. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Peterson, Preston Lane can be contacted via phone (503) 499-5200.Contact Information
Primary practice address
2701 Nw Vaughn St Suite 160
Portland OR 97210-5311
Phone: (503) 499-5200
Fax: (503) 499-5455
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | MD60167468 | Washington |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | MD25733 | Oregon |
Profile Details
| NPI number | 1245201508 |
|---|---|
| LBN Legal business name | Peterson, Preston Lane |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Feb 4th, 2022 - 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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