TERI L PETTERSEN MD NPI 1780673798

NPI Information

  • NPI: 1780673798
  • Provider Name: TERI L PETTERSEN, MD
  • Classification: Pediatrics - 208000000X
  • Entity Type: Individual
  • Address: 9555 SW BARNES RD
    STE 301
    PORTLAND, OR
    ZIP 97225
  • Phone: (503) 297-3371

Map and Directions

Get Directions

NPI Details

Teri L Pettersen, MD is a pediatrics in Portland, OR. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Teri L Pettersen, MD NPI is 1780673798. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9555 SW BARNES RD
STE 301
PORTLAND, OR
ZIP 97225-663
Phone: (503) 297-3371
Fax: (503) 297-7975

The enumeration date for this NPI number is 10/21/2005 and was last updated on 7/8/2007.

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
1208000000XPediatricsMD14900OREGONYes

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
1C91245MEDICARE UPIN
2037WCJDFBMEDICARE ID-TYPE UNSPECIFIEDOREGON
3212860MEDICAIDOREGON

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: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI