Individual
MERITT ALEENA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2222 NW LOVEJOY ST STE 622, PORTLAND, OR 97210-5104
(503) 229-8455
(503) 299-7028
Mailing address
847 NE 19TH AVE STE 300, PORTLAND, OR 97232-2686
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
PA196473
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2149182
—
WA
05
—
500775809
—
OR
Enumeration date
12/04/2019
Last updated
08/18/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us