Individual provider · Type 1 NPI
Gerald Dudley Peterson, DPM
Foot & Ankle Surgery Podiatrist · West Linn, OR
NPI number
1316983513
Active
Practice location
1880 Willamette Falls Dr, Suite 111
West Linn, OR 97068-4652
Fax (503) 657-7744
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 118 (OR) |
Foot & Ankle Surgery Podiatrist: Definition to come...
2 other providers at this address
Other foot & ankle surgery podiatrist providers in West Linn
About NPI 1316983513
Gerald Dudley Peterson, DPM's National Provider Identifier is 1316983513, issued on Jun 22, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in West Linn, OR. The record was last updated on Aug 29, 2011.