DR. ARNOLD L PETERSEN II (NPI# 1154409316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154409316 |
| Entity Type | Individual |
| Full Name | DR. ARNOLD L PETERSEN II |
| Credential | MD |
| Practice Address |
10101 Se Main St Suite 2011 Portland OR 97216-2455 |
| Mailing Address |
Po Box 84627 Lockbox 310115 Seattle WA 98124-5927 |
| Practice Telephone | 5032560890 |
| Practice Fax Number | 5032552150 |
| Mailing Telephone | 5032560890 |
| Mailing Fax Number | 5032552150 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2008-03-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 07945 | OR | Allopathic & Osteopathic Physicians |
| Y | 207V00000X | Obstetrics & Gynecology | 07945 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 151084 | 05 |
| Street Address |
10101 SE MAIN ST SUITE 2011 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97216-2455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316940075 | John W. Griffin | Internal Medicine | 10101 Se Main St, Ste 2001, Portland, OR 97216-2457 | 2005-05-24 |
| 1407390206 | Ansley Hill | Dietitian, Registered | 10101 Se Main St, Suite 1001, Portland, OR 97216-2455 | 2016-12-13 |
| 1710420278 | Portland Adv Medical Center | General Acute Care Hospital | 10101 Se Main St, Suite 1001, Portland, OR 97216-2455 | 2016-11-30 |
| 1831647593 | David N Carothers Dds PC | Dentist | 10101 Se Main St, Suite 3009, Portland, OR 97216-2455 | 2016-09-12 |
| 1518388495 | Jessica Anne Richards | Dietitian, Registered | 10101 Se Main St, Suite 1001, Portland, OR 97216-2455 | 2013-12-19 |
| 1124397062 | Mlb Nutrition & Wellness, LLC | Dietitian, Registered | 10101 Se Main St, Portland, OR 97216-2455 | 2011-12-21 |
| 1548558323 | Gregory Gullo, Md PC | Specialist | 10101 Se Main St, Suite 2014, Portland, OR 97216-2455 | 2011-07-14 |
| 1831482439 | Harpreet Kaur | Psychiatry & Neurology | 10101 Se Main St, Ste 1006, Portland, OR 97216-2456 | 2011-05-16 |
| 1356650949 | Arnold L Petersen II Md PC | Obstetrics & Gynecology | 10101 Se Main St, Suite 2011, Portland, OR 97216-2455 | 2010-09-29 |
| 1356573059 | Dulcinea Marie Ward | Dietitian, Registered | 10101 Se Main St, Suite 2014, Portland, OR 97216-2455 | 2009-08-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316468341 | Accident Care Chiropractic and Massage of Salem | Clinic/Center | 2168 Lancaster Dr. Ne, Portland, OR 97216 | 2017-06-29 |
| 1528508520 | Damone Brown | Peer Specialist | 10209 Se Washington St, Suite D, Portland, OR 97216 | 2017-02-24 |
| 1861937237 | Malachai Investments LLC | Clinical Medical Laboratory | 10,000 Se Main St, Ste 360, Portland, OR 97216 | 2016-12-21 |
| 1881136836 | Krista Marie Darnell | Occupational Therapy Assistant | 1475, Se 100th Avenue, Portland, OR 97216 | 2016-11-08 |
| 1821456559 | Sean Kelly | Counselor | 10564 Se Washington Street, Portland, OR 97216 | 2016-02-09 |
| 1174908321 | Phil Bergland | Counselor | 11220 Se Stark St, Suite 6, Portland, OR 97216 | 2015-07-29 |
| 1134507346 | Beth Lopez | Massage Therapist | 5814 Se Stark Street, Portland, OR 97216 | 2015-05-08 |
| 1982081477 | Amelia C Hunt | Counselor | 10564 Se Washinton Street, Portland, OR 97216 | 2015-05-04 |
| 1073907978 | Karen Ta | Emergency Medicine | 10300 Se Main St, Portland, OR 97216 | 2015-03-27 |
| 1265823298 | Laura Catherine Anderson | Occupational Therapist | 1475 Se 100th Avenue, Portland, OR 97216 | 2015-02-12 |
| Find all providers in zip 97216 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215396676 | Hanalore Griffiths | Obstetrics & Gynecology | 11750 Sw Barnes Rd Ste 300, Portland, OR 97225-5911 | 2016-02-14 |
| 1487057790 | William Russell Greene | Obstetrics & Gynecology | 2239 Ne 19th Ave, Portland, OR 97212-4616 | 2014-09-30 |
| 1538587654 | Gene De Haan | Obstetrics & Gynecology | 3350 N Interstate Ave, Obstretrics and Gynecology, Portland, OR 97227-3011 | 2014-04-04 |
| 1043650682 | Tuesday Elizabeth Pearson | Obstetrics & Gynecology | 2332 Nw Irving St., Portland, OR 97210 | 2013-06-27 |
| 1760820385 | John Ogorek | Obstetrics & Gynecology | 100 Brickhill Ave Ste 23, Portland, ME 04106-1999 | 2013-06-05 |
| 1841557170 | Eleonore Pettit Werner | Obstetrics & Gynecology | 84 Marginal Way Ste 900, Portland, ME 04101-2476 | 2012-04-11 |
| 1508152026 | Kelli Andersen | Obstetrics & Gynecology | 10000 Se Main St Ste 10, Portland, OR 97216-2441 | 2011-06-22 |
| 1831494087 | Katie Alton | Obstetrics & Gynecology | 3181 Sw Sam Jackson Park Rd # Uhn50, Portland, OR 97239-3011 | 2011-01-20 |
| 1386955037 | Chidimma Uche Abanulo | Obstetrics & Gynecology | 9701 Sw Banes Rd, Suite 150, Portland, OR 97225 | 2010-06-28 |
| 1982920393 | Leo Liu Han | Obstetrics & Gynecology | 3181 Sw Sam Jackson Park Road, Mailcode: L466, Oregon Health and Science University, Portland, OR 80045 | 2010-04-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.