DR. ARNOLD L PETERSEN MD NPI 1154409316

NPI Information

  • NPI: 1154409316
  • Provider Name: DR. ARNOLD L PETERSEN, MD
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • CLIA Number: 38D0704414
  • Address: 10101 SE MAIN ST STE 2001
    PORTLAND, OR
    ZIP 97216
  • Phone: (503) 256-0890

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NPI Details

DR. Arnold L Petersen, MD is an obstetrics gynecology in Portland, OR with 60 years of experience. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. DR. Arnold L Petersen, MD NPI is 1154409316. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1966

The provider's business location address is:

10101 SE MAIN ST STE 2001
PORTLAND, OR
ZIP 97216-457
Phone: (503) 256-0890
Fax: (503) 255-2150

The NPI 1154409316 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 38D0704414 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Automated urinalysis test (HCPCS:81003)
  • Hemoglobin measurement (HCPCS:88738)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous (HCPCS:G0328)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Blood glucose (sugar) level (HCPCS:82947)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)

The enumeration date for this NPI number is 11/2/2006 and was last updated on 1/15/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine07945OREGONNo
2207V00000XObstetrics & Gynecology07945OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1151084MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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