JEFFREY PETERSON STANLEY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141104

License Status

ACTIVE

Business

Title

First Name

JEFFREY

Middle

PETERSON

Last Name

STANLEY

Business Name

JEFFREY PETERSON STANLEY MD

Original Issue Date

06/30/2016

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

PORTLAND

State

Zip

97212

Ever Disciplined

LastModifiedDate

07/13/2023