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BRYAN DALE PETERSEN MD
NPI 1740296292
Radiology - Vascular & Interventional Radiology in Portland, OR

Active since August 01, 2006
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239(503) 494-7660 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bryan Dale Petersen Md NPPES

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

BRYAN DALE PETERSEN MD (NPI 1740296292) is an individual vascular & interventional radiology provider in Portland, Oregon, licensed in Oregon (MD15285) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1740296292
Entity TypeIndividualMale
Primary Taxonomy2085R0204X
Provider Legal NameBRYAN DALE PETERSENCredential: MD
Location Address3181 SW SAM JACKSON PARK RDPortland, OR 97239-3011
Mailing Address14930 Nw Gillihan RdPortland, OR 97231-1519
Phone(503) 494-7660
Sole ProprietorNo
Enumeration DateAugust 1, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1740296292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
License✔ Licensed in OR · MD15285
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
3181 SW SAM JACKSON PARK RD, Portland, OR 97239
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Other Identifiers 2

Medicaid028105OR
Medicare UPINF36437

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.

DONALD RICHARD SULLIVAN MD
Internal Medicine (Pulmonary Disease)
3181 SW SAM JACKSON PARK RD, UHN67
PORTLAND, OR 97239
Multnomah County (503) 494-6949
MRS. ANJALEE NIX ROWE NP
Nurse Practitioner (Acute Care)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-3988
REEM HASAN MD
Internal Medicine
3181 SW SAM JACKSON PARK RD, PPV 350
PORTLAND, OR 97239
Multnomah County (503) 494-8562
DR. AMANDA D BALL PSY.D
Psychologist (Clinical)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-6176
SUNSHINE WELSCH LMT
Massage Therapist
3181 SW SAM JACKSON PARK RD, 7D19
PORTLAND, OR 97239
Multnomah County (503) 494-8349
DR. ROBERT GENE MEALER M.D., PH.D.
Psychiatry & Neurology (Psychiatry)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-6176
GREGORY HALL MD
Radiology (Diagnostic Radiology)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 418-0990
DR. BURHAN AHMED MIAN MD
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-8311

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 Bryan Petersen's NPI number?

The NPI number for Bryan Petersen is 1740296292. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Bryan Petersen located?

Bryan Petersen practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 494-7660.

What is Bryan Petersen's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

When was this NPI record last updated?

The NPPES record for Bryan Petersen 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.