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Jenna Peterson, M.D

NPI 1922460211 · on the registry since 2016

Practice

Address
19300 Sw 65th Ave
Tualatin, OR 97062
Phone
(503) 525-7660
Organisation at this address
Steven Zack Pc
Tualatin Imaging P C
Legacy Meridan Park Hospital
Legacy Meridian Park Hospital
Legacy Meridian Park Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
63

Additional practice sites

  • 701 Park Ave, Minneapolis, MN

Registry record

Primary taxonomy
207RC0200X
207RC0200X
Also registered as
207P00000X
390200000X
Licence states on file
MN, OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-07-08

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