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Contact Information

BRENDA PECK
1727 SW 4TH ST
GRESHAM, OR97080-6716
 Phone: 503-449-3804
 Fax:
 Website:
Indicates primary specialty

NPI Profile & details for BRENDA PECK · (Female)

NPI # 1982187365
Status Active
Credentials
Entity Individual
Enumeration date 09/11/2018
Last updated 09/11/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # P-000594
  • OR License # P-00594
  • WA License # LR60450229
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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