ARNOLD L PETERSEN II MD PC
Medical Practice at Main St, Portland, OR

License number
Oregon MD07945
Category
Medical Practice
Type
Obstetrics & Gynecology
Owner
Name: DR. ARNOLD L PETERSEN II MD
Title: DR
Phone: (503) 256-0890
Address
Address 2
10101 SE Main St SUITE 2011, Portland, OR 97216
84627 Lockbox 310115, Seattle, WA 98124
National Provider ID: 1356650949
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ARNOLD L. PETERSEN II, M.D., PC

West Linn, OR  -  Portland, OR

Industry:
Medical Doctor's Office
Doing business as:
Arnold L Petersen II MD PC<br>Petersen, Arnold L II MD Facog
Registration:
Oct 11, 1979
Phone:
(503) 256-0890 (Phone)
Addresses:
5665 SW Mdw Rd STE 125, Lake Oswego, OR 97035 (Mailing)
10101 SE Main STE 2011, Portland, OR 97216 (Physical)
State ID:
14000111
Business type:
DOMESTIC PROFESSIONAL CORPORATION
President, Medical Doctors:
Karen Petersen (Secretary, Treasurer, Vice-President),Arnold Peterson President, Medical Doctor, inactive
Agent:
Lloyd Rsummers,5665 SW Mdw Rd #125, Lake Oswego, OR 97035 (Physical)

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