Bryan Dale Petersen in Portland - Vascular & Interventional Radiology
Bryan Dale Petersen - NPI 1740296292
Bryan Dale Petersen is a Vascular & Interventional Radiology in Portland, Oregon. Bryan Dale Petersen practices all healthcare services and medical treatments related to Vascular & Interventional Radiology. The NPI Number for Bryan Dale Petersen is 1740296292. The last update date is 2007-07-08.
Bryan Dale Petersen's current location address is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can contact this provider via phone number 5034947660. The mailing address for Bryan Dale Petersen is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bryan Dale Petersen |
|---|---|
| Address | 3181 Sw Sam Jackson Park Rd, Portland, Oregon |
| Phone Number | 5034947660 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1740296292 |
|---|---|
| Provider Enumeration Date | 2006-08-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3181 Sw Sam Jackson Park Rd |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972393011 |
| Phone Number | 5034947660 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Vascular & Interventional Radiology |
|---|---|
| Taxonomy | 2085R0204X |
| Licence No | MD15285 |
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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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 28105 | OR | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Bryan Dale Petersen by the Centers for Medicare & Medicaid Services?
The Bryan Dale Petersen has been issued the NPI (National Provider Identifier) 1740296292. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Bryan Dale Petersen is located?
The Bryan Dale Petersen is situated at the following address: 3181 Sw Sam Jackson Park Rd, Portland, OR, 972393011.
What is Bryan Dale Petersen's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Bryan Dale Petersen is Vascular & Interventional Radiology, and the taxonomy code that classifies this field of practice is 2085R0204X.
When was the Bryan Dale Petersen's 1740296292 issued?
The Bryan Dale Petersen's 1740296292 was issued on 2006-08-01.
As of what date were the Bryan Dale Petersen's details last updated?
The information pertaining to the Bryan Dale Petersen, including its address, specialty, and other details, was most recently updated on 2007-07-08.