CHRIS ALBERT PETERSEN PAC
NPI 1952393241
Physician Assistant - Surgical in Salem, OR

Active since August 22, 2005
875 OAK ST SE, SUITE 5020, SALEM, OR 97301(503) 226-6321(503) 227-3422 Get Directions Write a Review

NPPES record last updated: August 19, 2009. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Chris Albert Petersen Pac NPPES

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

CHRIS ALBERT PETERSEN PAC (NPI 1952393241) is an individual surgical provider in Salem, Oregon, licensed in Oregon (PA00211) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1952393241
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameCHRIS ALBERT PETERSENCredential: PAC
Location Address875 OAK ST SE, SUITE 5020Salem, OR 97301-3975
Mailing Address975 Se Sandy Blvd, Suite 200Portland, OR 97214-1308 · (503) 963-2846 · Fax (503) 963-9505
Fax(503) 227-3422
Sole ProprietorNo
Enumeration DateAugust 22, 2005
Last NPPES UpdateAugust 19, 2009
NPI 1952393241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in OR · PA00211
875 OAK ST SE, Salem, OR 97301

Other Identifiers 5

Medicare UPINS23087OR
Medicare PIN147747OR
Medicaid8435877WA
Medicaid210476OR
Medicare ID-Type Unspecified116065OR · Portland

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.

Allergy & Immunology
875 OAK ST SE, SUITE 4000
SALEM, OR 97301
Internal Medicine (Hematology & Oncology)
875 OAK ST SE, SUITE 4030
SALEM, OR 97301
Internal Medicine (Clinical Cardiac Electrophysiology)
875 OAK ST SE, SUITE #5040
SALEM, OR 97301
Pharmacy (Institutional Pharmacy)
875 OAK ST SE, COM PHARMACY
SALEM, OR 97301
Internal Medicine (Gastroenterology)
875 OAK ST SE, STE 3010
SALEM, OR 97301
Thoracic Surgery (Cardiothoracic Vascular Surgery)
875 OAK ST SE, SUITE 5020
SALEM, OR 97301
Radiology (Radiation Oncology)
875 OAK ST SE, SUITE 1080
SALEM, OR 97301
Internal Medicine (Cardiovascular Disease)
875 OAK ST SE, SUITE 5080
SALEM, OR 97301

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 Chris Petersen's NPI number?

The NPI number for Chris Petersen is 1952393241. It was assigned to this individual provider in the NPPES registry on August 22, 2005.

Where is Chris Petersen located?

Chris Petersen practices at 875 Oak St SE Suite 5020, Salem, OR 97301. The listed phone number is (503) 226-6321.

What is Chris Petersen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Chris Petersen was last updated on August 19, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.