Arnold L Petersen II MD PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MD07945 Issued in OR

Legal business name

ARNOLD L PETERSEN II MD PC

Practice address

10101 SE Main St
Suite 2011
Portland, OR 97216-2455

Phone

(503) 256-0890

Fax

(503) 255-2150

NPI assigned

Sep 29, 2010

Last updated

Sep 29, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Arnold L Petersen II, MDNPI 1154409316

Title

Dr

Phone

(503) 256-0890

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Arnold L Petersen II, MD

  • Obstetrics & Gynecology Physician
  • Portland, OR
  • NPI 1154409316
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285718400000",
    "number": "1356650949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 84627",
            "address_2": "LOCKBOX 310115",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981245927",
            "telephone_number": "503-256-0890",
            "fax_number": "503-255-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 SE MAIN ST",
            "address_2": "SUITE 2011",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162455",
            "telephone_number": "503-256-0890",
            "fax_number": "503-255-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARNOLD L PETERSEN II MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-29",
        "last_updated": "2010-09-29",
        "status": "A",
        "authorized_official_last_name": "PETERSEN",
        "authorized_official_first_name": "ARNOLD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "503-256-0890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OR",
            "license": "MD07945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zoe Leah Arnesen, MSW
• Alona Michelle Arneson I
• Corina Tudorache Arneson
• Krista Jean Arneson, RD
• Shelley Arneson
• Gretchen Arnold Metzler, RN
• Breanna Arnold
• Brittany N Arnold, MD
• Celeste Arnold
• Cynthia Lynne Arnold, PHD

• Obstetrics & Gynecology Physician in Portland, OR
• Providers in Portland, OR by specialty
• Obstetrics & Gynecology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.