Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Jenna Peterson, MD

Individual provider Emergency Medicine Physician · NPI 1922460211

Jenna Peterson, MD practises Internal Medicine in Tualatin, Oregon. Qualified in 2016, 10 years ago. Practices with Legacy Clinics LLC, a 718-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota and Oregon.

Years since qualifying
10
Licensed in
MN, OR
In the registry since
2016
Specialties on file
3
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

19300 SW 65th Ave
Tualatin, OR 97062-7706
Phone: (503) 525-7660
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 701 Park Ave, Minneapolis, MN 55415-1623 — (509) 481-3217

Specialties & licences

Critical Care Medicine (Internal Medicine) Physician (primary) Taxonomy 207RC0200X · Licence MD203919 (OR)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 63421 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1922460211
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 24, 2016
Last updated in NPPESJuly 8, 2021
Certification dateJuly 8, 2021

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Legacy Clinics Llc — 718 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients55
Services billed 147 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Legacy Emanuel Medical Center Hospital · Portland, OR
  • Legacy Meridian Park Medical Center Hospital · Tualatin, OR

Colleagues at Legacy Clinics LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 718 clinicians in the practice; 12 are shown here.

Other providers in Tualatin