Anne K. Petersen, MD
Family Medicine in Portland, OR. Individual provider (NPI-1).
NPI number1043398613
StatusActive
Last updated in NPPESJul 27, 2026
Details
- NPI
- 1043398613
- Entity type
- Individual (NPI-1)
- Name
- Anne K. Petersen
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 1, 2006
- Certification date
- Jul 27, 2026
- Last updated
- Jul 27, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD230287 | OR | Yes |
| 207Q00000X | Family Medicine | MD.MD.70125406 | WA | |
| 207Q00000X | Family Medicine | A94402 | CA | |
| 207Q00000X | Family Medicine | 2014-00719 | NC |
Practice location
2850 Nw Nicolai StPortland, OR 97210-2018
Phone 800-813-2000
Mailing address
500 Ne Multnomah St Ste 100Portland, OR 97232-2031
Phone 800-813-2000
Other practice locations
632 Broadway Ph
New York, NY 10012-2614
New York, NY 10012-2614
Phone 800-731-4254
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