Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lindsey Louise Peterson, PA-C

Individual provider Physician Assistant · NPI 1427676493

Lindsey Louise Peterson, PA-C is a Physician Assistant in Portland, Oregon. Graduated from Wake Forest University School of Medicine in 2020, 6 years ago. Practices with Legacy Clinics LLC, a 718-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
6
Trained at
Wake Forest University School of Medicine
Licensed in
OR
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3505 N Williams Ave
Portland, OR 97227-1437
Phone: (971) 202-2910
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA200529 (OR)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1427676493
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJuly 7, 2020
Last updated in NPPESAugust 28, 2020
Certification dateAugust 28, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Legacy Clinics Llc — 718 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations11 on file with Medicare

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