| Mark Steven Peterson, MD | |
|
925 Commercial St Se Ste 102, Salem, OR 97302-4173 | |
| (503) 561-7227 | |
| (503) 671-8334 |
| Full Name | Mark Steven Peterson |
|---|---|
| Gender | Male |
| Speciality | Surgery - Vascular Surgery |
| Location | 925 Commercial St Se Ste 102, Salem, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003980053 | NPI | - | NPPES |
| 010509 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | MD16135 (Oregon) | Primary |
| Entity Name | Salem Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265431829 PECOS PAC ID: 8628986668 Enrollment ID: O20040309001131 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Steven Peterson, MD 925 Commercial St Se Ste 102, Salem, OR 97302-4173 Ph: (503) 561-7227 | Mark Steven Peterson, MD 925 Commercial St Se Ste 102, Salem, OR 97302-4173 Ph: (503) 561-7227 |
Dr. Peter Augusto Bernardo, M.D Surgery Medicare: Not Enrolled in Medicare Practice Location: 700 Bellevue St Se, Suite 230, Salem, OR 97301 Phone: 503-585-6586 Fax: 503-371-4180 | |
Jiyoun E Kim, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 665 Winter St Se, Salem, OR 97301 Phone: 503-561-2448 | |
Eric A Laro, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5050 Skyline Village Loop S, Salem, OR 97306 Phone: 503-391-1110 Fax: 503-370-4237 | |
Dr. Patrick O'herron, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 890 Oak St Se, Salem, OR 97301 Phone: 503-561-5200 | |
Dr. Rick Dewitt Pittman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1793 13th St Se, Salem, OR 97302 Phone: 503-362-8385 Fax: 503-362-8435 | |
Dr. Elizabeth Maryann Windell, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 665 Winter St Se, Salem, OR 97301 Phone: 503-561-2448 |