NPI 1326306721

Andrea Klunder Petersen, MD

Practitioner Clinical Genetics (M.D.) Physician Portland, OR

Practice location

Address: 2801 N Gantenbein Ave STE 2225, Portland, OR 97227-1623
Phone: (503) 413-4505
Mailing address: PO Box 4399, Portland, OR 97208-4399

Registered specialties (3)

Clinical Genetics (M.D.) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207SG0201X Licence MD181125 (OR)

Other Medical Genetics providers in Oregon →

Pediatrics Physician

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence MD181125 (OR)

Other Pediatrics providers in Oregon →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1326306721
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Apr 2012
Record last updated: 21 Jul 2022

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.