Registry details

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Full name
Dr. Peter Edward Andersen
Credential
MD
Primary specialty
ENT
NPI taxonomy
Otolaryngology
NPI number
1730194234
License
MD16057 (OR)
Practice address
3181 SW SAM JACKSON PARK RD, Portland, OR, 97239
Phone
(503) 494-5355
NPI enumerated
July 2006
Source
NPI Registry (CMS)

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