Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JED RUSSELL PETERSON, M.D.
Active Sole ProprietorDR. JED RUSSELL PETERSON, M.D. is a Therapeutic Radiology healthcare provider located in PORTLAND, Oregon. NPI 1164634770 is currently active in the NPPES registry. Verify at CMS.
Therapeutic Radiology · PORTLAND, OR
Registration Details
- NPI Number
- 1164634770
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 4, 2007 (19.315542522689 yrs)
- Last Updated
- Oct 15, 2012
- Licenses
-
MD.60212410 (WA)MD.60212410 (WA)157199 (OR)157199 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10123 SE MARKET STDEPARTMENT OF RADIOLOGYPORTLAND, OR, 972162532Browse OR providers · Browse ZIP 97216
- Phone
- 5032516137
- Fax
- 5032616058
- Primary Specialty
-
Therapeutic Radiology
2085R0204X
- Additional Specialty
- Therapeutic Radiology
- Additional Specialty
- Diagnostic Radiology
- Additional Specialty
- Therapeutic Radiology
Other Therapeutic Radiology Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| DR. JAMES S PUTNAM | MD | 1013988120 |
| DR. SHELLIE CRAIG JOSEPHS | MD | 1902869639 |
| ANDREW COX | MD | 1205872918 |
| KHASHAYAR FARSAD | M.D. | 1376578609 |
| PAUL CONRAD LAKIN | MD | 1376558874 |
| JOHN KAUFMAN | MD | 1992711584 |
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.