Individual provider · Type 1 NPI

Bryan Dale Petersen, MD

Vascular & Interventional Radiology Physician · Portland, OR

NPI number 1740296292 Active

Practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Call (503) 494-7660 Map

Mailing address

14930 NW Gillihan Rd
Portland, OR 97231-1519

Specialties and licenses

TaxonomyCodeLicense
Vascular & Interventional Radiology Physician Primary 2085R0204XMD15285 (OR)

Vascular & Interventional Radiology Physician: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

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About NPI 1740296292

Bryan Dale Petersen, MD's National Provider Identifier is 1740296292, issued on Aug 1, 2006. The primary taxonomy on file is Vascular & Interventional Radiology Physician (2085R0204X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.