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

Robert William Peterson, MD

Individual provider Pediatrics Physician · NPI 1104938380

Robert William Peterson, MD is a Pediatrics Physician in Portland, Oregon. Licensed in Oregon and Washington. Registered with an NPI since 2006.

Licensed in
OR, WA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3550 N Interstate Ave Kaiser Permanente Interstate Medical Ofc East
Portland, OR 97227-1196
Phone: (503) 331-3078
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 30984 (OR)
Pediatrics Physician Taxonomy 208000000X · Licence 30984 (WA)

Record details

NPI number1104938380
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESJuly 8, 2007

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