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DR. CARLY CHRISTOFERSON PETERSEN DMD
NPI 1841844354
Dentist - General Practice in Lake Oswego, OR

Active since August 01, 2019
3900 DOUGLAS WAY, LAKE OSWEGO, OR 97035(503) 636-8446(503) 636-4446 Get Directions Write a Review

NPPES record last updated: March 1, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 1, 2022, Aug 1, 2019 (2 updates tracked since 2019).

About Dr. Carly Christoferson Petersen Dmd NPPES

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

DR. CARLY CHRISTOFERSON PETERSEN DMD (NPI 1841844354) is an individual general practice provider in Lake Oswego, Oregon, licensed in Oregon (D11110) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1841844354
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. CARLY CHRISTOFERSON PETERSENCredential: DMD
Location Address3900 DOUGLAS WAYLake Oswego, OR 97035-3446
Mailing Address3900 Douglas WayLake Oswego, OR 97035-3446 · (503) 636-8446 · Fax (503) 636-4446
Phone(503) 636-8446
Fax(503) 636-4446
Sole ProprietorYes
Enumeration DateAugust 1, 2019
Last NPPES UpdateMarch 1, 20222 updates tracked since enumeration
NPPES CertifiedMarch 1, 2022
✔ NPI 1841844354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OR · D11110
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
3900 DOUGLAS WAY, Lake Oswego, OR 97035
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES 5

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

WIKLE DENTISTRY LLC
Dentist (General Practice)
3900 DOUGLAS WAY
LAKE OSWEGO, OR 97035
Clackamas County (503) 636-8446
DR. TIMOTHY JOHN EDVALSON D.M.D.
Dentist (General Practice)
3900 DOUGLAS WAY
LAKE OSWEGO, OR 97035
Clackamas County (503) 636-8446
MR. CODY MERRIL BYWATERS LICENSED DENTURIST
Denturist
3900 DOUGLAS WAY
LAKE OSWEGO, OR 97035
Clackamas County (503) 635-8060
CARLY K CHRISTOFERSON DMD PC
Clinic/Center (Dental)
3900 DOUGLAS WAY
LAKE OSWEGO, OR 97035
Clackamas County (503) 636-8446
MS. ALINA CHOBU LMT
Massage Therapist
3900 DOUGLAS WAY
LAKE OSWEGO, OR 97035
Clackamas County (503) 935-0965

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 Carly Petersen's NPI number?

The NPI number for Carly Petersen is 1841844354. It was assigned to this individual provider in the NPPES registry on August 1, 2019.

Where is Carly Petersen located?

Carly Petersen practices at 3900 Douglas Way, Lake Oswego, OR 97035. The listed phone number is (503) 636-8446.

What is Carly Petersen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Carly Petersen accept?

Health plans from Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BridgeSpan Health Company and 4 other insurers list Carly Petersen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carly Petersen was last updated on March 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.