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

Individual provider Geriatric Medicine (Internal Medicine) Physician · NPI 1245201508

Dr. Preston Lane Peterson, MD is a Geriatric Medicine (Internal Medicine) Physician in Portland, Oregon. Licensed in Oregon and Washington. Registered with an NPI since 2006.

Licensed in
OR, WA
In the registry since
2006
Specialties on file
2
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

2701 NW Vaughn St Ste 160
Portland, OR 97210-5311
Phone: (503) 499-5200
Fax: (503) 499-5455
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X · Licence MD25733 (OR)
Geriatric Medicine (Internal Medicine) Physician Taxonomy 207RG0300X · Licence MD60167468 (WA)

Record details

NPI number1245201508
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 26, 2006
Last updated in NPPESFebruary 4, 2022

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