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

Ronald Raymond Petersen, MD

Individual provider Cardiovascular Disease Physician · NPI 1225020514

Ronald Raymond Petersen, MD is a Cardiovascular Disease Physician in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2005.

Licensed in
OR
In the registry since
2005
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

1111 NE 99th Ave Ste 201
Portland, OR 97220-9428
Phone: (503) 962-1000
Fax: (503) 963-3005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence MD13668 (OR)

Record details

NPI number1225020514
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 22, 2005
Last updated in NPPESNovember 12, 2021
Certification dateNovember 12, 2021

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