Ronald Raymond Petersen, MD - Internal Medicine in Portland, OR

Ronald Raymond Petersen, MD is a Internal Medicine - Cardiovascular Disease physician based in Portland, Oregon. Ronald Raymond Petersen is licensed to practice in Oregon (license number MD13668) and his current practice location is 1111 Ne 99th Ave, Suite 201, Portland, Oregon. He can be reached at his office (for appointments etc.) via phone at (503) 962-1000.

NPI number for Ronald Raymond Petersen is 1225020514 and his current mailing address is Po Box 3158, Portland, Oregon. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1225020514.

Contact Information

Ronald Raymond Petersen, MD
1111 Ne 99th Ave, Suite 201,
Portland, OR 97220-9428
(503) 962-1000
(503) 963-3005

Map and Direction




Physician's Profile

Full NameRonald Raymond Petersen
GenderMale
SpecialityInternal Medicine - Cardiovascular Disease
Location1111 Ne 99th Ave, Portland, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1225020514
  • Provider Enumeration Date: 08/22/2005
  • Last Update Date: 11/12/2021

Medical Identifiers

Medical identifiers for Ronald Raymond Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225020514NPI-NPPES
025148MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease MD13668 (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. Ronald Raymond Petersen 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
Ronald Raymond Petersen, MD
Po Box 3158,
Portland, OR 97208-3158

Ph: (503) 215-6494
Ronald Raymond Petersen, MD
1111 Ne 99th Ave, Suite 201,
Portland, OR 97220-9428

Ph: (503) 962-1000

Reviews and Comments


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