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

Jenna Peterson, MD

Individual provider Emergency Medicine Physician · NPI 1922460211

Jenna Peterson, MD is an 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
Mailing address9 W Franklin Ave Apt 306, Minneapolis, MN 55404-2594

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

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