Randolph E Peterson

LBN: Randolph E Peterson
Randolph E Peterson is an health care organization with primary practice located at 840 Sw 4Th Avenue , Ontario OR 97914-2627. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. Randolph E Peterson can be contacted via phone (541) 889-2899, or through Peterson, Leslie via phone (541) 889-2899.

Contact Information

Primary practice address
840 Sw 4Th Avenue Ontario OR 97914-2627
Phone: (541) 889-2899
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Peterson, Leslie
Phone: (541) 889-2899

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 19969 Oregon

Profile Details

NPI number 1679752802
LBN Legal business name Randolph E Peterson
DBA Doing business as
Authorized official Peterson, Leslie
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2007
Last updated Oct 24th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679752802 NPPES
Oregon MEDICAID 135827

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