Individual provider · Type 1 NPI

Sean Luke Peterson, MD

Surgery Physician · Clackamas, OR

NPI number 1619362001 Active

Practice location

10180 SE Sunnyside Rd Ofc Egs
Clackamas, OR 97015-8970

Mailing address

10180 SE Sunnyside Rd Ofc
Clackamas, OR 97015-8970

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000XMD61103323 (WA)
Surgery Physician 208600000X63579 (MN)
Surgery Physician 208600000XMD47700 (IA)
Surgery Physician 208600000X73695-20 (WI)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Surgery Physician Primary 208600000XMD201352 (OR)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1619362001

Sean Luke Peterson, MD's National Provider Identifier is 1619362001, issued on Apr 2, 2015. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Clackamas, OR. The record was last updated on Dec 2, 2021.