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

Dr. Jed Russell Peterson, MD

Individual provider Diagnostic Radiology Physician · NPI 1164634770

Dr. Jed Russell Peterson, MD is a Diagnostic Radiology in Portland, Oregon. Graduated from Albany Medical College of Union University in 2006, 20 years ago. Practices with Diagnostic Radiologists PC, a 14-clinician group and accepts Medicare assignment. Licensed in Oregon and Washington.

Years since qualifying
20
Trained at
Albany Medical College of Union University
Licensed in
OR, WA
In the registry since
2007
Specialties on file
4
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

10123 SE Market St Dept OF Radiology
Portland, OR 97216-2532
Phone: (503) 251-6137
Fax: (503) 261-6058
Show map & directions

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

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence 157199 (OR)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MD.60212410 (WA)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence MD.60212410 (WA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 157199 (OR)

Record details

NPI number1164634770
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 4, 2007
Last updated in NPPESOctober 15, 2012

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduated 2006 (20 years in practice)
Group practice Diagnostic Radiologists Pc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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