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

Individual provider Surgical Physician Assistant · NPI 1942794839

Michael Peterson, PA-C is a Physician Assistant in Portland, Oregon. Qualified in 2018, 8 years ago. Practices with University Professional Services, a 1,704-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
8
Licensed in
OR
In the registry since
2018
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

3181 SW Sam Jackson Park Rd # P31
Portland, OR 97239-3098
Phone: (503) 494-8991
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2222 Nw Lovejoy St Ste 419, Portland, OR 97210-5102 — (503) 413-2005

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA189053 (OR)

Record details

NPI number1942794839
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 14, 2018
Last updated in NPPESMarch 19, 2026
Certification dateMarch 19, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice University Professional Services — 1704 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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