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

Michael Theodore Peterson, MD

Individual provider Diagnostic Radiology Physician · NPI 1578651923

Michael Theodore Peterson, MD is a Diagnostic Radiology Physician in Newport, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

930 SW Abbey St
Newport, OR 97365-4820
Phone: (541) 754-4710
Fax: (541) 574-2858
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence MD09375 (OR)

Record details

NPI number1578651923
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 11, 2006
Last updated in NPPESMay 7, 2008
Mailing addressPo Box 366, Corvallis, OR 97339-0366

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