| Dr Larry Len Peterson, MD | |
|
16877 65th Ave, Lake Oswego, OR 97035-7865 | |
| (503) 620-3376 | |
| (503) 684-8554 |
| Full Name | Dr Larry Len Peterson |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Location | 16877 65th Ave, Lake Oswego, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043273907 | NPI | - | NPPES |
| 3542298 | Other | OR | LIFEWISE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | MD12848 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Larry Len Peterson, MD 16877 65th Ave, Lake Oswego, OR 97035-7865 Ph: (503) 620-3376 | Dr Larry Len Peterson, MD 16877 65th Ave, Lake Oswego, OR 97035-7865 Ph: (503) 620-3376 |
Dr. John A Kazmierowski, MD Dermatology Medicare: Medicare Enrolled Practice Location: 18405 Deer Oak Ave, Lake Oswego, OR 97035 Phone: 503-799-8086 | |
Margaret A Hewitt, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 4035 Sw Mercantile Dr, #210, Lake Oswego, OR 97035 Phone: 503-636-6114 Fax: 503-636-4896 | |
Betty Si Yuan Jiang, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 17704 Jean Way Ste 102, Lake Oswego, OR 97035 Phone: 503-635-9221 | |
Andrew E Pitt, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 17704 Jean Way, Suite 102, Lake Oswego, OR 97035 Phone: 503-635-9221 | |
Dr. Barry Michael Austin, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 17704 Jean Way, Suite 102, Lake Oswego, OR 97035 Phone: 503-635-9221 Fax: 503-635-5902 |