MICHAEL PETERSON


Address: 3181 Sw Sam Jackson Park Rd # P31, Portland, OR 97239-3098
Phone: 5034948991

MICHAEL PETERSON (NPI# 1942794839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942794839
Entity Type Individual
Full Name MICHAEL PETERSON
Credential PA-C
Practice Address 3181 Sw Sam Jackson Park Rd # P31
Portland
OR 97239-3098
Mailing Address 7117 Se Evergreen Hwy
Vancouver
WA 98664-1631
Practice Telephone 5034948991
Mailing Telephone 3604483027
Enumeration Date 2018-06-14
Last Update Date 2018-06-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Other Providers MICHAEL PETERSON

NPI Name Taxonomy Address Enumeration
1548715634 Michael Latrae Peterson Social Worker 6767 W Windmill Ln, Las Vegas, NV 89139-6501 2016-08-18
1033544119 Michael Robert Peterson Counselor 522 4th St S, Stillwater, MN 55082-4966 2013-09-09
1750651113 Michael Peterson Social Worker 1400 N Hayworth Ave Apt 9, West Hollywood, CA 90046-3836 2012-01-03
1578848131 Michael Dean Peterson Dentist 4710 Amber Valley Pkwy S, Ste A, Fargo, ND 58104 2011-10-14
1467693119 Michael Lamont Peterson Registered Nurse 13 Hollister St, Rochester, NY 14605-1401 2009-03-10
1003062001 Michael Carl Peterson Physical Therapist 2850 Mitchell Rd, Jamestown, NY 14701-8906 2008-08-11
1942472691 Michael E Peterson Dentist 5355 W State St, Boise, ID 83703-3333 2008-04-01
1134325145 Michael W Peterson Dentist 1319 Tennessee St, Vallejo, CA 94590 2007-06-26
1609079094 Michael Gene Peterson Emergency Medicine 201 E. Nicollet Blvd., Burnsville, MN 55337 2007-06-06
1770634909 Michael Warren Peterson Dermatology 114 East 800 North, Spanish Fork, UT 84660 2007-01-15

Office Location

Street Address 3181 SW SAM JACKSON PARK RD # P31
City PORTLAND
State OR
Zip Code 97239-3098

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558979468 Elise Caitlin Esposito Student in an Organized Health Care Education/Training Program 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 2020-07-16
1750908844 Will Cowan Student in an Organized Health Care Education/Training Program 455 Sw Us Veterans Hospital Road., Portland, OR 97239 2020-07-06
1881219657 Desiree Baer Licensed Vocational Nurse Sw Us Veterans Hospital Rd, Portland, OR 97239 2020-06-08
1285266205 Melissa Irene Wheeler Registered Nurse Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 2020-02-07
1225687981 Pheba Mariam Jones Pharmacist Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 2019-09-05
1801448063 Alice Huang Huang Student in an Organized Health Care Education/Training Program 3710 Sw Veterans Road, Portland, OR 97239 2019-07-09
1710446273 Ellen Noreen Kessi Social Worker 3710 Sw Us Veterans Rd., Portland, OR 97239 2019-03-14
1508335704 Jacqueline Marie Mular Marriage & Family Therapist 5550 Sw Macadam Suite 100, Portland, OR 97239 2018-11-16
1275030926 Carly Elizabeth Dougher Student in an Organized Health Care Education/Training Program Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 2018-04-10
1780188094 Dennis John Samuel Student in an Organized Health Care Education/Training Program Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 2018-03-21
Find all providers in zip 97239

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427676493 Lindsey Louise Peterson Physician Assistant 3505 N Williams Ave, Portland, OR 97227-1437 2020-07-07
1518584036 Abigail Nichole Dumont Physician Assistant 6064 Sw 30th Ave, Portland, OR 97239-1018 2020-06-30
1336769637 Molly Tanguay Physician Assistant 23 Bramhall St, Portland, ME 04102-3121 2020-04-16
1063040525 Jessica Nursick Physician Assistant 26 Sand Hill Rd, Portland, CT 06480-1737 2020-03-31
1689217630 Evan Eisher Physician Assistant 3809 Se Stephens St, Portland, OR 97214-5248 2019-10-22
1508407941 Amie Bates Physician Assistant 1040 Nw 22nd Ave # Ll030, Portland, OR 97210-3057 2019-10-07
1558923326 Mackenzie Graye Mcmillin Physician Assistant 1601 Congress St Ste 1, Portland, ME 04102-2145 2019-07-02
1447812268 Maksim Yefimov Physician Assistant 2800 N Vancouver Ave Ste 130, Portland, OR 97227 2019-07-01
1306383930 Rachel Lynn Witowski Physician Assistant 2124 Nw Hoyt St, Portland, OR 97210-3215 2017-01-20
1700330149 Lance Martin Stang Physician Assistant 606 Ne Broadway St, Portland, OR 97232-1212 2016-08-14
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97239

Improve Information

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Dataset Information

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.

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