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Dr. Thea E Petersen, MD
Family Medicine Physician in Cottage Grove, Oregon
NPI 1083887087

Thea E Petersen is a Family Medicine Physician based in Eugene, OR. Thea E Petersen practices in Cottage Grove, OR and has the professional credentials of MD. The NPI Number for Thea E Petersen is 1083887087 and holds a License No. (Oregon).

The current practice location address for Thea E Petersen is 1515 Village Dr Ste 220, Cottage Grove, OR and can be reached out via phone at 541-767-5200 and via fax at 541-767-5353.

Location: 1515 Village Dr Ste 220, Cottage Grove, OR, 97401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083887087
Provider Name
Thea E Petersen
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1515 Village Dr Ste 220, Cottage Grove, OR, 97401
Phone Number
541-767-5200
Fax Number
541-767-5353
Provider Enumeration Date
04/10/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1515 Village Dr Ste 220
City
Cottage Grove
State
Oregon
Zip
97424-9700
Phone Number
541-767-5200
Fax Number
541-767-5353
person
Provider Business Mailing Address Details
Address
1515 Village Dr Ste 220
City
Cottage Grove
State
Oregon
Zip
97424-9700
Phone Number
541-767-5200
Fax Number
541-767-5353
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
MD152665 (Oregon)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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