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

Dean Kyle Peterson, MD

Individual provider Internal Medicine Physician · NPI 1033559869

Dean Kyle Peterson, MD is an Internal Medicine in Tualatin, Oregon. Graduated from Oregon Health Sciences University School of Medicine in 2015, 11 years ago. Practices with Legacy Clinics LLC, a 718-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
11
Trained at
Oregon Health Sciences University School of Medicine
Licensed in
OR
In the registry since
2013
Specialties on file
3
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

19300 SW 65th Ave
Tualatin, OR 97062
Phone: (503) 413-8407
Fax: (503) 413-6951
Show map & directions

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

Additional practice locations (1)

  • 1200 Nw 23rd Ave, Portland, OR 97210-2906 — (503) 413-8401

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD186971 (OR)
Internal Medicine Physician Taxonomy 207R00000X · Licence PG178578 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1033559869
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 25, 2013
Last updated in NPPESJuly 5, 2018
Mailing addressPo Box 3777, Portland, OR 97208-3777

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Legacy Clinics Llc — 718 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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