Mark Steven Peterson
Vascular Surgeon
925 Commercial St Se Ste 102
Salem
, Oregon 97302-4173
Mark Steven Peterson
Vascular Surgeon
925 Commercial St Se Ste 102
Salem
, Oregon 97302-4173
(503) 371-8334
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About
Features
Specialties
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Mark Steven Peterson
- 925 Commercial St Se Ste 102
- Salem, OR
- Zip : 97302-4173
- Fax : (503) 371-8334
- Phone : (503) 561-7227
Second Address
- Mark Steven Peterson
- 925 Commercial St Se Ste 102
- Salem, OR
- Zip : 97302-4173
- Fax : (503) 671-8334
- Phone : (503) 561-7227
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0129X | Vascular Surgeon | MD16135 | OR |
National Provider Identifier
| NPI | 1003980053 |
|---|---|
| Provider Name | Mark Steven Peterson |
| First Address | Salem, OR 97302-4173 |
| Second Address | Salem, OR 97302-4173 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/11/2006 |
| Last Update Date | 07/10/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 010509 | (05) | OR |
| E57532 | (02) | OR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.