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

Roman Tobias Pettigrew, DO

Individual provider Internal Medicine Physician · NPI 1043914419

Roman Tobias Pettigrew, DO is an Internal Medicine in Portland, Oregon. Graduated from University of New England, College of Osteo Medicine in 2023, 3 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Oregon.

Years since qualifying
3
Trained at
University of New England, College of Osteo Medicine
Licensed in
OR
In the registry since
2023
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2801 N Gantenbein Ave
Portland, OR 97227-1623
Phone: (503) 413-8407
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1015 Nw 22nd Ave, Portland, OR 97210-3025 — (503) 413-8401

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence DO229970 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1043914419
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMarch 29, 2023
Last updated in NPPESMay 28, 2026
Certification dateMay 28, 2026

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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