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RANDOLPH E PETERSON
NPI 1679752802
Orthopaedic Surgery in Ontario, OR

Active since October 24, 2007
840 SW 4TH AVENUE, ONTARIO, OR 97914(541) 889-2899 Get Directions Write a Review

NPPES record last updated: October 24, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Randolph E Peterson NPPES

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

RANDOLPH E PETERSON (NPI 1679752802) is a healthcare organization registered as an orthopaedic surgery in Ontario, Oregon and active in the NPI registry since October 2007. The organization lists Leslie Peterson, Manager, as its authorized official.

NPPES Registry Identity

NPI1679752802
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameRANDOLPH E PETERSON
Location Address840 SW 4TH AVENUEOntario, OR 97914-2627
Mailing AddressPo Box 1460Ontario, OR 97914-1066 · (541) 889-2899
Phone(541) 889-2899
Organization SubpartNo
Authorized OfficialLeslie PetersonManager · (541) 889-2899
Enumeration DateOctober 24, 2007
✔ NPI 1679752802 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 AVENUE, Ontario, OR 97914
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Other Identifiers 3

Medicaid135827OR
Medicare PIN119509
Medicare UPING31149

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

STEPHEN K AMES M.D.
Pediatrics
840 SW 4TH AVENUE, SUITE 105
ONTARIO, OR 97914
Malheur County (541) 881-2380

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 E Peterson's NPI number?

The NPI number for Randolph E Peterson is 1679752802. It was assigned to this organization in the NPPES registry on October 24, 2007.

Where is Randolph E Peterson located?

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

What is Randolph E 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 E Peterson was last updated on October 24, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.