# ARNOLD L PETERSEN II MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356650949
- **Authorized official:** DR. ARNOLD L PETERSEN II MD (DR)
- **Authorized official phone:** (503) 256-0890

## Contact information

- **Practice address:** 10101 SE MAIN ST, SUITE 2011, PORTLAND, OR 97216-2455
- **Practice address phone:** (503) 256-0890
- **Practice address fax:** (503) 255-2150
- **Mailing address:** PO BOX 84627, LOCKBOX 310115, SEATTLE, WA 98124-5927
- **Mailing address phone:** (503) 256-0890
- **Mailing address fax:** (503) 255-2150

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | MD07945 | OR | Yes |

## Other

- **Enumeration date:** 09/29/2010
- **Last updated:** 09/29/2010