Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JOHANNA RAE PETERSON, PA-C
ActiveMRS. JOHANNA RAE PETERSON, PA-C is a Medical Physician Assistant healthcare provider located in BEND, Oregon. NPI 1396934238 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · BEND, OR
Registration Details
- NPI Number
- 1396934238
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 16, 2007 (18.866075553337 yrs)
- Last Updated
- Sep 17, 2024
- License
-
PA01280 (OR)
Practice Information
- Address
-
2200 NE NEFF RD STE 302BEND, OR, 977014279Browse OR providers · Browse ZIP 97701
- Phone
- 5417064220
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in BEND, OR
| Name | Credential | NPI |
|---|---|---|
| MS. AMY GOULEY SNOW | PA | 1215912712 |
| MR. DOUGLAS A THOMAS | P.A. | 1497799555 |
| MR. JOEL MYERS | PA C | 1073540969 |
| DANIEL MONTOYA | PA-C | 1659399939 |
| MRS. JAMIE JANELLE FREEMAN | PAC | 1396753257 |
| STEVEN RANDALL KING | PA-C | 1992715924 |
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.