DR. GERALD DUDLEY PETERSON DPM
NPI 1316983513
Podiatrist - Foot & Ankle Surgery in West Linn, OR

Q: What is Gerald Peterson's NPI number?

The NPI number for Gerald Peterson is 1316983513. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Q: What is Gerald Peterson's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: When was this NPI record last updated?

The NPPES record for Gerald Peterson was last updated on August 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.

Active since June 22, 2006

1880 WILLAMETTE FALLS DR, SUITE 111, WEST LINN, OR 97068(503) 657-1900(503) 657-7744 Get Directions Write a Review

NPPES record last updated: August 29, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Gerald Dudley Peterson Dpm NPPES

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

DR. GERALD DUDLEY PETERSON DPM (NPI 1316983513) is an individual foot & ankle surgery provider in West Linn, Oregon, licensed in Oregon (118) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1316983513

Entity TypeIndividualMale

Primary Taxonomy213ES0103X

Provider Legal NameDR. GERALD DUDLEY PETERSONCredential: DPM

Location Address1880 WILLAMETTE FALLS DR, SUITE 111West Linn, OR 97068-4652

Mailing Address1880 Willamette Falls Dr, Suite 111West Linn, OR 97068-4652 · (503) 657-1900 · Fax (503) 657-7744

Phone(503) 657-1900

Fax(503) 657-7744

Sole ProprietorYes

Enumeration DateJune 22, 2006

Last NPPES UpdateAugust 29, 2011

✔ NPI 1316983513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in OR · 118

1880 WILLAMETTE FALLS DR, West Linn, OR 97068

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Other Identifiers 5

Medicaid168161OR

Medicare UPINT68008OR

Medicare NSC0915940001OR

Other930743342OR · Bcbs Of Oregon

Medicare PINR0000SGBDJOR

Other Providers at the Same Location NPPES

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

DR. JASON A. KEELER DPM

Podiatrist (Foot & Ankle Surgery)

1880 WILLAMETTE FALLS DR, #111
WEST LINN, OR 97068

Clackamas County (503) 657-1900

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 Gerald Peterson's NPI number?

The NPI number for Gerald Peterson is 1316983513. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Where is Gerald Peterson located?

Gerald Peterson practices at 1880 Willamette Falls Dr Suite 111, West Linn, OR 97068. The listed phone number is (503) 657-1900.

What is Gerald Peterson's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Gerald Peterson was last updated on August 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.