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

Peter Michael Dejong, MD

Individual provider Sports Medicine (Preventive Medicine) Physician · NPI 1750887493

Peter Michael Dejong, MD is a Family Practice in Sherwood, Oregon. Graduated from Michigan State University College of Human Medicine in 2018, 8 years ago. Practices with Providence Health and Services Oregon, a 1,426-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
8
Trained at
Michigan State University College of Human Medicine
Licensed in
OR
In the registry since
2018
Specialties on file
2
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

16770 SW Edy Rd Ste 102
Sherwood, OR 97140-9679
Phone: (503) 216-9600
Show map & directions

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

Additional practice locations (1)

  • 1250 E 3900 S Ste 260, Salt Lake City, UT 84124-1371 — (801) 268-2000

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD212000 (OR)
Sports Medicine (Preventive Medicine) Physician Taxonomy 2083S0010X · Licence MD212000 (OR)

Record details

NPI number1750887493
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 2, 2018
Last updated in NPPESNovember 10, 2022
Certification dateNovember 10, 2022
Mailing addressPo Box 3158, Portland, OR 97208-3158

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated 2018 (8 years in practice)
Group practice Providence Health And Services Oregon — 1426 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare