Search › Oregon › 2080P0006X
Mario Petersen, MD
NPI 1760490239 · on the registry since 2006
Practice
- Address
- 901 E 18th Ave
Eugene, OR 97403 - Phone
- (541) 346-3575
- Fax
- (541) 346-5844
- Organisation at this address
- University Professional Services
University Professional Services
University Professional ServicesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 30
Additional practice sites
- 35 Michigan St Ne Ste 3003, Grand Rapids, MI
Registry record
- Primary taxonomy
- 2080P0006X
2080P0006X
- Also registered as
- 208000000X
2080P0006X
2080P0008X
2080P0008X - Licence states on file
- OR, MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-08-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon