Carolyn M Peterson, MD - Family Medicine in Portland, OR

Carolyn M Peterson, MD is a Family Medicine physician based in Portland, Oregon. Carolyn M Peterson is licensed to practice in Oregon (license number MD179720) and her current practice location is 18040 Sw Lower Boones Ferry Rd Ste 304, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at (503) 216-0700.

NPI number for Carolyn M Peterson is 1750792669 and her current mailing address is 18040 Sw Lower Boones Ferry Rd Ste 304, Portland, Oregon. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750792669.

Contact Information

Carolyn M Peterson, MD
18040 Sw Lower Boones Ferry Rd Ste 304,
Portland, OR 97224-7258
(503) 216-0700
Not Available

Map and Direction




Physician's Profile

Full NameCarolyn M Peterson
GenderFemale
SpecialityFamily Medicine
Location18040 Sw Lower Boones Ferry Rd Ste 304, Portland, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1750792669
  • Provider Enumeration Date: 05/13/2014
  • Last Update Date: 07/26/2021

Medical Identifiers

Medical identifiers for Carolyn M Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750792669NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MD179720 (Oregon)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carolyn M Peterson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Carolyn M Peterson, MD
18040 Sw Lower Boones Ferry Rd Ste 304,
Portland, OR 97224-7258

Ph: (503) 216-0700
Carolyn M Peterson, MD
18040 Sw Lower Boones Ferry Rd Ste 304,
Portland, OR 97224-7258

Ph: (503) 216-0700

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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