NPI 1043273907

Larry Len Peterson, MD

Practitioner Dermatology Physician Lake Oswego, OR

Practice location

Address: 16877 65th Ave, Lake Oswego, OR 97035-7865
Phone: (503) 620-3376
Fax: (503) 684-8554

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence MD12848 (OR)

Other Dermatology providers in Oregon →

Registry record

NPI: 1043273907
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Apr 2006
Record last updated: 13 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.