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

Leif Eric Petterson Jr., NP

Individual provider Family Nurse Practitioner · NPI 1730559360

Leif Eric Petterson Jr., NP is a Nurse Practitioner in Redmond, Oregon. Qualified in 2015, 11 years ago. Practices with Mosaic Community Health, a 79-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut and Oregon.

Years since qualifying
11
Licensed in
CT, OR
In the registry since
2015
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1250 SW Veterans Way Ste 120
Redmond, OR 97756-2588
Phone: (541) 383-3005
Fax: (541) 383-1883
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 945 Campbell Ave, West Haven, CT 06516-2706 — (203) 623-2350

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 202008709NP-PP (OR)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 006253 (CT)

Record details

NPI number1730559360
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 24, 2015
Last updated in NPPESJanuary 18, 2023
Certification dateJanuary 18, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Mosaic Community Health — 79 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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