Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 097006794N3 | OR |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 537692 9479 | CA |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | AP30003495 | WA |
NPI | 1467590075 |
---|---|
Provider Name | Dr. Peter Martin Sunderland |
First Address | Hillsboro, OR 97124-5023 |
Second Address | Hillsboro, OR 97124-5023 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/02/2007 |
Last Update Date | 11/07/2015 |