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

Individual provider Emergency Medicine Physician · NPI 1568551521

Dr. Ryan Jon Petersen, MD is an Emergency Medicine in Roseburg, Oregon. Graduated from Medical College of Wisconsin in 2005, 21 years ago. Practices with Central Oregon Emergency Physicians LLC, a 31-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Missouri and Oregon.

Years since qualifying
21
Trained at
Medical College of Wisconsin
Licensed in
MO, OR
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

2700 NW Stewart Pkwy Roseburg OR 97471
Roseburg, OR 97471-1281
Phone: (314) 750-3965
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 557 W Washington St, Burns, OR 97720-1441 — (541) 573-7281
  • 1253 Nw Canal Blvd, Redmond, OR 97756-1334 — (541) 548-8131

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MD125955 (OR)
Emergency Medicine Physician Taxonomy 207P00000X · Licence BB4745785-2005017258 (MO)

Record details

NPI number1568551521
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 11, 2006
Last updated in NPPESMay 9, 2025
Certification dateMay 9, 2025
Mailing address2700 Nw Stewart Pkwy, Roseburg Or 97471, Roseburg, OR 97471-1281

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2005 (21 years in practice)
Group practice Central Oregon Emergency Physicians Llc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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