DR. LARRY LEN PETERSON M.D.
NPI 1043273907
Dermatology in Lake Oswego, OR

Active since April 10, 2006
16877 65TH AVE, LAKE OSWEGO, OR 97035(503) 620-3376(503) 684-8554 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Dr. Larry Len Peterson M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LARRY LEN PETERSON M.D. (NPI 1043273907) is an individual dermatology provider in Lake Oswego, Oregon, licensed in Oregon (MD12848) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1043273907
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. LARRY LEN PETERSONCredential: M.D.
Location Address16877 65TH AVELake Oswego, OR 97035-7865
Mailing Address16877 65th AveLake Oswego, OR 97035-7865 · (503) 620-3376 · Fax (503) 684-8554
Fax(503) 684-8554
Sole ProprietorNo
Enumeration DateApril 10, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1043273907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in OR · MD12848
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
16877 65TH AVE, Lake Oswego, OR 97035

Other Identifiers 1

Other3542298OR · Lifewise

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larry Peterson's NPI number?

The NPI number for Larry Peterson is 1043273907. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Where is Larry Peterson located?

Larry Peterson practices at 16877 65th Ave, Lake Oswego, OR 97035. The listed phone number is (503) 620-3376.

What is Larry Peterson's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Larry Peterson was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.