PATRICIA E PETERSON M.D.
NPI 1093757130
Obstetrics & Gynecology in Salem, OR

Q: What is Patricia Peterson's NPI number?

The NPI number for Patricia Peterson is 1093757130. It was assigned to this individual provider in the NPPES registry on June 12, 2006. The provider is also known as Patricia E Sullivan M.D..

Q: What is Patricia Peterson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Patricia Peterson was last updated on May 27, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 12, 2006

2020 CAPITOL ST NE, SALEM, OR 97303(503) 399-2424(503) 375-7429 Get Directions Write a Review

NPPES record last updated: May 27, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Patricia E Peterson M.d. NPPES

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

PATRICIA E PETERSON M.D. (NPI 1093757130) is an individual obstetrics & gynecology provider in Salem, Oregon, licensed in Oregon (MD064647) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1093757130

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NamePATRICIA E PETERSONCredential: M.D.

Location Address2020 CAPITOL ST NESalem, OR 97303-3244

Mailing AddressPo Box 8100Salem, OR 97303-0900 · (503) 399-2424 · Fax (503) 375-7429

Phone(503) 399-2424

Fax(503) 375-7429

Sole ProprietorNo

Enumeration DateJune 12, 2006

Last NPPES UpdateMay 27, 2010

✔ NPI 1093757130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in OR · MD064647

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

2020 CAPITOL ST NE, Salem, OR 97303

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Other Names 1

Former Name (1)Patricia E Sullivan M.d.

Other Identifiers 6

OtherCS4159Railroad Group

Medicare PINR016WCJWKHOR

Other160023207Railroad Medicare

Medicare NSC1228590005OR

Medicare UPINF85374OR

Medicaid064647OR

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LORING H WINTHROP M.D.

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