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

Dr. Thea E Petersen, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1083887087

Dr. Thea E Petersen, MD is a Family Practice in Cottage Grove, Oregon. Graduated from University of Washington School of Medicine in 2007, 19 years ago. Practices with Lane County Oregon, a 31-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
19
Trained at
University of Washington School of Medicine
Licensed in
OR
In the registry since
2008
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

1515 Village Dr Ste 220
Cottage Grove, OR 97424-9700
Phone: (541) 767-5200
Fax: (541) 767-5353
Show map & directions

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

Additional practice locations (1)

  • 123 S 27th St, Billings, MT 59101-4200 — (406) 247-3269

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD152665 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1083887087
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 10, 2008
Last updated in NPPESApril 10, 2023
Certification dateApril 10, 2023
Mailing addressPo Box 24410, Eugene, OR 97401

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Lane County Oregon — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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