Individual provider · Type 1 NPI

Meritt Aleena Peterson, PA-C

Surgical Physician Assistant · Portland, OR

NPI number 1689211013 Active

Practice location

2222 NW Lovejoy St Ste 622
Portland, OR 97210-5104

Call (503) 229-8455 Map

Fax (503) 299-7028

Mailing address

847 NE 19th Ave Ste 300
Portland, OR 97232-2686

Other practice locations

  • 501 N Graham St Ste 500, Portland, OR 97227-2003 · (503) 229-8455

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Surgical Physician Assistant Primary 363AS0400XPA196473 (OR)

Surgical Physician Assistant: Definition to come...

4 other providers at this address

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About NPI 1689211013

Meritt Aleena Peterson, PA-C's National Provider Identifier is 1689211013, issued on Dec 4, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Portland, OR. The record was last updated on Aug 18, 2020.