Individual provider · Type 1 NPI

Leif Eric Petterson Jr., NP

Family Nurse Practitioner · Redmond, OR

NPI number 1730559360 Active

Practice location

1250 SW Veterans Way Ste 120
Redmond, OR 97756-2588

Call (541) 383-3005 Map

Fax (541) 383-1883

Mailing address

600 SW Columbia St Ste 6250
Bend, OR 97702-1099

Other practice locations

  • 945 Campbell Ave, West Haven, CT 06516-2706 · (203) 623-2350

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X006253 (CT)
Family Nurse Practitioner Primary 363LF0000X202008709NP-PP (OR)

Family Nurse Practitioner: Definition to come...

27 other providers at this address

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About NPI 1730559360

Leif Eric Petterson Jr., NP's National Provider Identifier is 1730559360, issued on Sep 24, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Redmond, OR. The record was last updated on Jan 18, 2023.