| Michael Theodore Peterson, MD | |
|
930 Sw Abbey St, Newport, OR 97365-4820 | |
| (541) 754-4710 | |
| (541) 574-2858 |
| Full Name | Michael Theodore Peterson |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 930 Sw Abbey St, Newport, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578651923 | NPI | - | NPPES |
| 279000 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD09375 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Theodore Peterson, MD Po Box 366, Corvallis, OR 97339-0366 Ph: (541) 758-5047 | Michael Theodore Peterson, MD 930 Sw Abbey St, Newport, OR 97365-4820 Ph: (541) 754-4710 |
Nathan Gruenhagen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 930 Sw Abbey St Ste B, Newport, OR 97365 Phone: 541-265-2244 | |
Dr. Tinko Ivanov Zlatev, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 930 Sw Abbey St, Newport, OR 97365 Phone: 541-265-2244 Fax: 541-574-1838 |