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Individual

DR. ARNOLD L PETERSEN II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10101 SE MAIN ST STE 2001, PORTLAND, OR 97216-2457
(503) 256-0890
(503) 255-2150
Mailing address
PO BOX 33977, PORTLAND, OR 97292-3977
(503) 256-0890
(503) 255-2150

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
07945
OR
207V00000X
Obstetrics & Gynecology Physician
Primary
07945
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
151084
OR
Enumeration date
11/02/2006
Last updated
01/15/2025
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