BLAIR PETERS
Individual Provider (NPI-1)
Active
Plastic Surgery
Provider Information
- NPI Number
1871147876- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 3181 SW SAM JACKSON PARK RD # L352A, PORTLAND, OR, 972393011
- Phone
- (503) 494-7824
Specialties & Taxonomies
Plastic Surgery
Primary License: MO #2019011349
Surgery, Plastic and Reconstructive Surgery
License: OR #197514