DR. RYAN PETERSEN (NPI# 1972017028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972017028 |
| Entity Type | Individual |
| Full Name | DR. RYAN PETERSEN |
| Credential | PHARMD |
| Practice Address |
330 S Garden Way Ste 270 Eugene OR 97401-8185 |
| Practice Telephone | 5412424279 |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2017-11-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
RPH-0014161 | OR | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568551521 | Ryan Jon Petersen | Emergency Medicine | 2700 Nw Stewart Pkwy, Roseburg Or 97471, Roseburg, OR 97471-1281 | 2006-10-11 |
| 1164513008 | Ryan C Petersen | Internal Medicine | 1151 May St, Hood River, OR 97031-1552 | 2006-09-27 |
| Street Address |
330 S GARDEN WAY STE 270 |
| City | EUGENE |
| State | OR |
| Zip Code | 97401-8185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578714861 | Shugi Zheng | Internal Medicine | 330 S Garden Way Ste 270, Eugene, OR 97401-8185 | 2008-10-04 |
| 1194248179 | Amanda Kay Hill | Nurse Practitioner | 330 S Garden Way Ste 270, Eugene, OR 97401-8185 | 2017-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427681709 | Sarah Voigt | Counselor | 2149 Centennial Plaza Suite #4, Eugene, OR 97401 | 2020-02-14 |
| 1801426242 | Therapeutic Associates, Inc. | Physical Therapist | 760 Charnelton St., Suite 760, Eugene, OR 97401 | 2020-01-24 |
| 1225676232 | Aaron James Barber | Massage Therapist | 1375 Pearl St, Eugene, Or 97401, Eugene, OR 97401 | 2019-12-20 |
| 1851957047 | Altru Home Care LLC | Nursing Care | 1345 Olive St., Eugene, OR 97401 | 2019-05-14 |
| 1881155208 | Herron Jordanna Spence | Speech-Language Pathologist | 385 West 2nd Ave., Eugene, OR 97401 | 2019-03-28 |
| 1750855094 | Brandon Marshall | Counselor | 1158 High St Ste 202, Eugene, OR 97401 | 2019-01-21 |
| 1881172591 | Kayla Nicole O'brien | Nurse Practitioner | Country Club In Eugene, 520 Country Club Road, Eugene, OR 97401 | 2018-08-03 |
| 1962992180 | Shannon Jensen Smyth | Counselor | Va Eugene Downtown Clinic, 211 E. 7th Ave, Eugene, OR 97401 | 2018-05-14 |
| 1902305956 | Christine Noel Gray | Peer Specialist | 499 W. 4th Ave, Eugene, OR 97401 | 2018-02-06 |
| 1821507344 | Anjuli Chitkara | Psychologist | 1679 Willamette Street, Eugene, OR 97401 | 2017-09-27 |
| Find all providers in zip 97401 | ||||
| Taxonomy Code | 1835P2201X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Ambulatory Care |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. |
| Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376039321 | Anthony Mckenzie | Pharmacist | 665 Winter St Se Bldg B, Salem, OR 97301-3934 | 2018-07-02 |
| 1457881468 | Coleman Gayheart Jr. | Pharmacist | 12981 Sw Upper Ridge Rd, Terrebonne, OR 97760-9212 | 2017-06-13 |
| 1265977086 | Robert Martini | Pharmacist | 18815 Ne Clackamas St, Portland, OR 97230-7138 | 2017-01-03 |
| 1477901643 | Shellie Weatherspoon | Pharmacist | 1040 Nw 22nd Ave Ste 100, Portland, OR 97210-3036 | 2016-05-29 |
| 1164887402 | Good Samaritan Hospital Corvallis | Pharmacist | 3517 Nw Samaritan Dr # 202, Corvallis, OR 97330-3767 | 2015-12-30 |
| 1871106914 | Viet Quoc Nguyen | Pharmacist | 2280 Marcola Rd, Springfield, OR 97477-2594 | 2020-08-28 |
| 1235757915 | Dustin J Clark | Pharmacist | 4400 Ne Halsey St Ste 490, Portland, OR 97213-1545 | 2020-07-09 |
| 1841818523 | Erica Dominguez | Pharmacist | 870 S Front St Ste 200, Central Point, OR 97502-2779 | 2020-07-09 |
| 1518585199 | Kasey Rubin | Pharmacist | 4400 Ne Halsey St Bldg 2, Portland, OR 97213-1545 | 2020-07-09 |
| 1699306464 | Frederique Josee Blouin | Pharmacist | 335 Se 8th Ave, Hillsboro, OR 97123-4246 | 2020-01-30 |
| Find all providers with the same taxonomy | ||||
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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.