| Mara B Peterson, MD | |
| 
					1500 Division St, Oregon City, OR 97045-1527  | |
| (503) 650-6270 | |
| Not Available | 
| Full Name | Mara B Peterson | 
|---|---|
| Gender | Female | 
| Speciality | Internal Medicine | 
| Location | 1500 Division St, Oregon City, Oregon | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1659950194 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | MD215039 (Oregon) | Primary | 
| Entity Name | Providence Health & Services Oregon | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652  | 
| Entity Name | Providence Health & Services - Oregon | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1912282369 PECOS PAC ID: 5294901922 Enrollment ID: O20120319000430  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mara B Peterson, MD Po Box 3158, Portland, OR 97208-3158 Ph: (503) 215-6494  | Mara B Peterson, MD 1500 Division St, Oregon City, OR 97045-1527 Ph: (503) 650-6270  | 
Chun-yang Michael Chang, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1508 Division St, Ste 15, Oregon City, OR 97045 Phone: 503-692-3750 Fax: 503-691-2324  | |
Steven J Riley, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1510 Division St Ste 200, Oregon City, OR 97045 Phone: 503-962-1000  | |
Michael Frank Sheffield, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1508 Division St, Ste 15, Oregon City, OR 97045 Phone: 503-692-3750 Fax: 503-691-2324  | |
Monina Farrah Ramos Pascua, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1508 Division St, Ste 15, Oregon City, OR 97045 Phone: 503-692-3750 Fax: 503-691-2324  | |
Gerald Acheson Dunlap, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1510 Division St, Suite 200, Oregon City, OR 97045 Phone: 503-650-6880 Fax: 503-650-6888  | |
Madeline Iona Hoon, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 1500 Division St, Oregon City, OR 97045 Phone: 503-650-6270  | |
William M Davies, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1510 Division St Ste 200, Oregon City, OR 97045 Phone: 503-962-1000  |