person
Chris Albert Petersen, PAC
Surgical Physician Assistant in Salem, Oregon
NPI 1952393241

Chris Albert Petersen is a Surgical Physician Assistant based in Portland, OR and is specialized in Surgical. Chris Albert Petersen practices in Salem, OR and has the professional credentials of PAC. The NPI Number for Chris Albert Petersen is 1952393241 and holds a License No. PA00211 (Oregon).

The current practice location address for Chris Albert Petersen is 875 Oak St Se, Salem, OR and can be reached out via phone at 503-226-6321 and via fax at 503-227-3422. You can also correspond with Chris Albert Petersen through the mailing address at 975 SE SANDY BLVD, PORTLAND, OR - 97214-1308 (mailing address contact number: 503-963-2846).

Location: 875 Oak St Se, Salem, OR, 97214-1308
person
Provider Profile Details
NPI Number
1952393241
Provider Name
Chris Albert Petersen
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
875 Oak St Se, Salem, OR, 97214-1308
Phone Number
503-226-6321
Fax Number
503-227-3422
Provider Enumeration Date
08/22/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
210476 05 OR
8435877 05 WA
institution
Provider Business Practice Location Address Details
Address
875 Oak St Se
City
State
Zip
97301-3975
Phone Number
503-226-6321
Fax Number
503-227-3422
person
Provider Business Mailing Address Details
Address
875 Oak St Se
City
State
Zip
97301-3975
Phone Number
503-226-6321
Fax Number
503-227-3422
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA00211 (Oregon)
Definition
Definition to come...
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