NPI 1578651923

Michael Theodore Peterson, MD

Practitioner Diagnostic Radiology Physician Newport, OR

Practice location

Address: 930 SW Abbey St, Newport, OR 97365-4820
Phone: (541) 754-4710
Fax: (541) 574-2858
Mailing address: PO Box 366, Corvallis, OR 97339-0366

Registered specialties

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence MD09375 (OR)

Other Radiology providers in Oregon →

Registry record

NPI: 1578651923
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Oct 2006
Record last updated: 7 May 2008

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.