RANDOLPH E PETERSON MD
NPI 1669461364
Orthopaedic Surgery in Ontario, OR

Active since October 17, 2005
840 SW 4TH AVE, ONTARIO, OR 97914(541) 889-2899(541) 889-2883 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Randolph E Peterson Md NPPES

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

RANDOLPH E PETERSON MD (NPI 1669461364) is an individual orthopaedic surgery provider in Ontario, Oregon, licensed in Oregon (19969) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1669461364
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameRANDOLPH E PETERSONCredential: MD
Location Address840 SW 4TH AVEOntario, OR 97914-2627
Mailing AddressPo Box 1460Ontario, OR 97914-1066 · (541) 889-2899 · Fax (541) 889-2883
Fax(541) 889-2883
Sole ProprietorYes
Enumeration DateOctober 17, 2005
Last NPPES UpdateJuly 8, 2007
NPI 1669461364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in OR · 19969
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
840 SW 4TH AVE, Ontario, OR 97914

Other Identifiers 5

Other838281001OR · Bcbs Of Or
Other003426400ID · Idaho Medicaid Eds
Medicaid135827OR
Medicare UPING31149
Medicare ID-Type Unspecified119509OR

Other Providers at the Same Location NPPES 11

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

Community Health Worker
840 SW 4TH AVE
ONTARIO, OR 97914
Speech-Language Pathologist
840 SW 4TH AVE
ONTARIO, OR 97914
Orthopaedic Surgery
840 SW 4TH AVE
ONTARIO, OR 97914
Physical Therapist
840 SW 4TH AVE
ONTARIO, OR 97914
Community Health Worker
840 SW 4TH AVE
ONTARIO, OR 97914
Physician Assistant
840 SW 4TH AVE
ONTARIO, OR 97914
Physician Assistant (Medical)
840 SW 4TH AVE
ONTARIO, OR 97914
Speech-Language Pathologist
840 SW 4TH AVE
ONTARIO, OR 97914

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 Randolph Peterson's NPI number?

The NPI number for Randolph Peterson is 1669461364. It was assigned to this individual provider in the NPPES registry on October 17, 2005.

Where is Randolph Peterson located?

Randolph Peterson practices at 840 SW 4th Ave, Ontario, OR 97914. The listed phone number is (541) 889-2899.

What is Randolph Peterson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

When was this NPI record last updated?

The NPPES record for Randolph Peterson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.