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

Dr. Carly Christoferson Petersen, DMD

Individual provider General Practice Dentistry · NPI 1841844354

Dr. Carly Christoferson Petersen, DMD is a General Practice Dentistry in Lake Oswego, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2019
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

3900 Douglas Way
Lake Oswego, OR 97035-3446
Phone: (503) 636-8446
Fax: (503) 636-4446
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D11110 (OR)

Record details

NPI number1841844354
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedAugust 1, 2019
Last updated in NPPESMarch 1, 2022
Certification dateMarch 1, 2022

Other providers in Lake Oswego