DR. JED PETERSON, M.D.

Radiology - Vascular & Interventional Radiology

Active Individual

NPI: 1164634770

Practice Address

10123 SE MARKET ST
DEPARTMENT OF RADIOLOGY
Portland, OR 97216

Specialties

Specialty	Code	Primary	License
Radiology - Diagnostic Radiology	2085R0202X	No	157199 (OR)
Radiology - Vascular & Interventional Radiology	2085R0204X	Yes	157199 (OR)

Frequently Asked Questions

NPI 1164634770 is the National Provider Identifier for DR. JED PETERSON, M.D., a Radiology - Vascular & Interventional Radiology provider located in Portland, OR. This NPI was enumerated on May 4, 2007.

DR. JED PETERSON, M.D. practices at 10123 SE MARKET ST, DEPARTMENT OF RADIOLOGY, Portland, OR 97216.

Quick Facts

NPI: 1164634770
Type: Individual
Enumerated: May 4, 2007
Last Updated: Oct 15, 2012

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