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

Carolyn M Peterson, MD

Individual provider Family Medicine Physician · NPI 1750792669

Carolyn M Peterson, MD is a Family Medicine Physician in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2014.

Licensed in
OR
In the registry since
2014
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

18040 SW Lowr Boones Ferry RD Ste 304
Portland, OR 97224-7258
Phone: (503) 216-0700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD179720 (OR)

Record details

NPI number1750792669
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 13, 2014
Last updated in NPPESJuly 26, 2021
Certification dateJuly 26, 2021

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