person
Dr. Gerald Dudley Peterson, DPM
Foot & Ankle Surgery Podiatrist in West Linn, Oregon
NPI 1316983513

Gerald Dudley Peterson is a Foot & Ankle Surgery Podiatrist based in West Linn, OR and is specialized in Foot & Ankle Surgery. Gerald Dudley Peterson practices in West Linn, OR and has the professional credentials of DPM. The NPI Number for Gerald Dudley Peterson is 1316983513 and holds a License No. 118 (Oregon).

The current practice location address for Gerald Dudley Peterson is 1880 Willamette Falls Dr, West Linn, OR and can be reached out via phone at 503-657-1900 and via fax at 503-657-7744.

Location: 1880 Willamette Falls Dr, West Linn, OR, 97068-4652
person
Provider Profile Details
NPI Number
1316983513
Provider Name
Gerald Dudley Peterson
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1880 Willamette Falls Dr, West Linn, OR, 97068-4652
Phone Number
503-657-1900
Fax Number
503-657-7744
Provider Enumeration Date
06/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
930743342 01 OR BCBS OF OREGON
168161 05 OR
institution
Provider Business Practice Location Address Details
Address
1880 Willamette Falls Dr
City
State
Zip
97068-4652
Phone Number
503-657-1900
Fax Number
503-657-7744
person
Provider Business Mailing Address Details
Address
1880 Willamette Falls Dr
City
State
Zip
97068-4652
Phone Number
503-657-1900
Fax Number
503-657-7744
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
118 (Oregon)
Definition
Definition to come...
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