DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. THEA E PETERSEN, MD

Active

DR. THEA E PETERSEN, MD is a Family Medicine healthcare provider located in COTTAGE GROVE, Oregon. NPI 1083887087 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · COTTAGE GROVE, OR

Registration Details

NPI Number
1083887087
Provider Type
Individual
Gender
Female
NPI Issued
Apr 10, 2008 (18.351092096386 yrs)
Last Updated
Apr 10, 2023
License
MD152665 (OR)

Practice Information

Address
1515 VILLAGE DR STE 220
COTTAGE GROVE, OR, 974249700
Browse OR providers · Browse ZIP 97424
Phone
5417675200
Fax
5417675353
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in COTTAGE GROVE, OR

Name Credential NPI
JUDITH DOLENE STENSLAND FNP 1225001720
DR. GERALD A BARKER M.D. 1366411498
DR. JAMES F HARRISON M.D. 1174592208
DR. ZUZANNA M. WIECKOWSKA M.D. 1902823743
NICHOLAS LANDAU GIDEONSE MD 1639184146
DR. PATRICK SARVER 1487784443
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.