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Brenda Peck
NPI 1982187365 · on the registry since 2018 · sole proprietor
Practice
- Address
- 1727 Sw 4th St
Gresham, OR 97080 - Phone
- (503) 449-3804
Registry record
- Primary taxonomy
- 227900000X
227900000X
- Also registered as
- 2279H0200X
2279H0200X
2279P3900X
2279P3900X
227900000X
2279P4000X
2279P4000X - Licence states on file
- WA, OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-09-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon