Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
VANESSA L PETERSON, MD
DeactivatedVANESSA L PETERSON, MD is a Sports Medicine (IM) healthcare provider located in PORTLAND, Oregon. NPI 1205958576 is deactivated in the NPPES registry. Verify at CMS.
Sports Medicine (IM) · PORTLAND, OR
This NPI has been deactivated.
The record was deactivated on July 17, 2007.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1205958576
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 5, 2007 (0.28142076502732 yrs)
- Last Updated
- Oct 12, 2012
- Deactivated
- Jul 17, 2007
- Licenses
-
MD151179 (OR)MD60237646 (WA)
Practice Information
- Address
-
10201 SE MAIN STPORTLAND LUNG CLINICPORTLAND, OR, 972162937Browse OR providers · Browse ZIP 97216
- Phone
- 5032532248
- Primary Specialty
-
Sports Medicine (IM)
207RS0012X
- Additional Specialty
- Sports Medicine (IM)
Other Sports Medicine (IM) Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| DANIEL BRYAN ROOT | MD | 1194770370 |
| VIVEK DOGRA | M.D. | 1447293162 |
| AKRAM KHAN | M.D. | 1710993498 |
| DR. CHRISTIAN MARTIN MORALES | MD | 1669524864 |
| DR. RADHIKA SEKHRI BREADEN | MD | 1154462257 |
| JODY H TATE | MD | 1740318815 |
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.