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Michael Theodore Peterson, MD
Diagnostic Radiology Physician in Newport, Oregon
NPI 1578651923

Michael Theodore Peterson is a Diagnostic Radiology Physician based in Corvallis, OR and is specialized in Diagnostic Radiology. Michael Theodore Peterson practices in Newport, OR and has the professional credentials of MD. The NPI Number for Michael Theodore Peterson is 1578651923 and holds a License No. MD09375 (Oregon).

The current practice location address for Michael Theodore Peterson is 930 Sw Abbey St, Newport, OR and can be reached out via phone at 541-754-4710 and via fax at 541-574-2858.

Location: 930 Sw Abbey St, Newport, OR, 97339-0366
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578651923
Provider Name
Michael Theodore Peterson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
930 Sw Abbey St, Newport, OR, 97339-0366
Phone Number
541-754-4710
Fax Number
541-574-2858
Provider Enumeration Date
10/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
279000 05 OR
institution
Provider Business Practice Location Address Details
Address
930 Sw Abbey St
City
Newport
State
Oregon
Zip
97365-4820
Phone Number
541-754-4710
Fax Number
541-574-2858
person
Provider Business Mailing Address Details
Address
930 Sw Abbey St
City
Newport
State
Oregon
Zip
97365-4820
Phone Number
541-754-4710
Fax Number
541-574-2858
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
MD09375 (Oregon)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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