Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bryan Dale Petersen, MD

Individual provider Vascular & Interventional Radiology Physician · NPI 1740296292

Bryan Dale Petersen, MD is a Vascular & Interventional Radiology Physician in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-7660
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence MD15285 (OR)

Record details

NPI number1740296292
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 1, 2006
Last updated in NPPESJuly 8, 2007
Mailing address14930 Nw Gillihan Rd, Portland, OR 97231-1519

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