Search › Oregon › 363AS0400X
Michael Peterson, PA-C
NPI 1942794839 · on the registry since 2018
Practice
- Address
- 3181 Sw Sam Jackson Park Rd # P31
Portland, OR 97239 - Phone
- (503) 494-8991
Additional practice sites
- 2222 Nw Lovejoy St Ste 419, Portland, OR
Registry record
- Primary taxonomy
- 363AS0400X
363AS0400X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-03-19
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