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Dr. Jed Russell Peterson, MD
Vascular & Interventional Radiology Physician in Portland, Oregon
NPI 1164634770

Jed Russell Peterson is a Vascular & Interventional Radiology Physician based in Portland, OR and is specialized in Vascular & Interventional Radiology. Jed Russell Peterson practices in Portland, OR and has the professional credentials of MD. The NPI Number for Jed Russell Peterson is 1164634770 and holds a License No. MD.60212410 (Oregon).

The current practice location address for Jed Russell Peterson is 10123 Se Market St, Portland, OR and can be reached out via phone at 503-251-6137 and via fax at 503-261-6058. You can also correspond with Jed Russell Peterson through the mailing address at 10123 SE MARKET ST, PORTLAND, OR - 97216-2532 (mailing address contact number: 503-251-6137).

Location: 10123 Se Market St, Portland, OR, 97216-2532
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Provider Profile Details
NPI Number
1164634770
Provider Name
Jed Russell Peterson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
10123 Se Market St, Portland, OR, 97216-2532
Phone Number
503-251-6137
Fax Number
503-261-6058
Provider Enumeration Date
05/04/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
157199 01 OR OREGON MEDICAL BOARD
MD60212410 01 WA MEDICAL LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
10123 Se Market St
City
State
Zip
97216-2532
Phone Number
503-251-6137
Fax Number
503-261-6058
person
Provider Business Mailing Address Details
Address
10123 Se Market St
City
State
Zip
97216-2532
Phone Number
503-251-6137
Fax Number
503-261-6058
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
MD.60212410 (Washington)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
License No.
MD.60212410 (Washington)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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