| Doctor Name: | MS. PEGGY J RIVERS |
| NPI Number: | 1134114739 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ANP |
| License Number: | AP30006298 |
| Business Practice Address: | 17175 Sw Tv Hwy Ste B2 Aloha, OR - 970064584 |
| Business Phone Number: | 5039413017 |
| Business Fax Number: | |
| Mailing Address: | 17175 Sw Tv Hwy Ste B2, ALOHA |
| State: | OR |
| Postal Code: | 970064584 |
| Phone Number: | 5039413017 |
| Fax Number: | |
| NPI Enumeration Date: | 09/20/2005 |
| NPI Last Update Date: | 12/09/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | AP30006298 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |