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RONALD RAYMOND PETERSEN MD
NPI 1225020514
Internal Medicine - Cardiovascular Disease in Portland, OR

Active since August 22, 2005
1111 NE 99TH AVE, SUITE 201, PORTLAND, OR 97220(503) 962-1000(503) 963-3005 Get Directions Write a Review

NPPES record last updated: November 12, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 12, 2021, Oct 14, 2020 (2 updates tracked since 2020).

About Ronald Raymond Petersen Md NPPES

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

RONALD RAYMOND PETERSEN MD (NPI 1225020514) is an individual cardiovascular disease provider in Portland, Oregon, licensed in Oregon (MD13668) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1225020514
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameRONALD RAYMOND PETERSENCredential: MD
Location Address1111 NE 99TH AVE, SUITE 201Portland, OR 97220-9428
Mailing AddressPo Box 3158Portland, OR 97208-3158 · (503) 215-6494
Phone(503) 962-1000
Fax(503) 963-3005
Sole ProprietorNo
Enumeration DateAugust 22, 2005
Last NPPES UpdateNovember 12, 20212 updates tracked since enumeration
NPPES CertifiedNovember 12, 2021
✔ NPI 1225020514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in OR · MD13668
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1111 NE 99TH AVE, Portland, OR 97220
Open in Google Maps ↗

Other Identifiers 1

Medicaid025148OR

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.

LOUIS SAMUELS LIBBY MD
Internal Medicine (Pulmonary Disease)
1111 NE 99TH AVE, SUITE 200
PORTLAND, OR 97220
Multnomah County (503) 963-3030
DOUGLAS CRAIG WALTA MD
Internal Medicine (Gastroenterology)
1111 NE 99TH AVE, SUITE 301
PORTLAND, OR 97220
Multnomah County (503) 963-2707
ALYSSA MARIE O'BRIEN RD
Dietitian, Registered
1111 NE 99TH AVE
PORTLAND, OR 97220
Multnomah County (503) 963-2707
JERZY O GIEDWOYN MD
Internal Medicine (Cardiovascular Disease)
1111 NE 99TH AVE, SUITE 201
PORTLAND, OR 97220
Multnomah County (503) 962-1000
DR. AMY LI RONG ZHU MD
Internal Medicine (Gastroenterology)
1111 NE 99TH AVE
PORTLAND, OR 97220
Multnomah County (503) 963-2707
MISS JACKIE MARCELLA WOLF PT
Physical Therapist
1111 NE 99TH AVE
PORTLAND, OR 97220
Multnomah County (503) 216-5410
STEPHEN JOHN YERMAL
Nurse Anesthetist, Certified Registered
1111 NE 99TH AVE, SUITE 302
PORTLAND, OR 97220
Multnomah County (503) 963-2763
THE OREGON CLINIC PC
Clinic/Center (Endoscopy)
1111 NE 99TH AVE
PORTLAND, OR 97220
Multnomah County (503) 963-2801

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 Ronald Petersen's NPI number?

The NPI number for Ronald Petersen is 1225020514. It was assigned to this individual provider in the NPPES registry on August 22, 2005.

Where is Ronald Petersen located?

Ronald Petersen practices at 1111 NE 99th Ave Suite 201, Portland, OR 97220. The listed phone number is (503) 962-1000.

What is Ronald Petersen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Ronald Petersen was last updated on November 12, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.