Dr. Andrea Klunder Petersen
Pediatrician Clinical Genetics (M.D.)
2801 N Gantenbein Ave Ste 2225
Portland
, Oregon 97227-1623
Dr. Andrea Klunder Petersen
Pediatrician Clinical Genetics (M.D.)
2801 N Gantenbein Ave Ste 2225
Portland
, Oregon 97227-1623
(503) 413-3710
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About
Features
Specialties
- Clinical Genetics (M.D.)
- Pediatrician
Languages spoken
- English
Location
First Address
- Dr. Andrea Klunder Petersen
- Po Box 4399
- Portland, OR
- Zip : 97208-4399
- Fax : (503) 413-3710
- Phone : (503) 413-3900
Second Address
- Dr. Andrea Klunder Petersen
- 2801 N Gantenbein Ave Ste 2225
- Portland, OR
- Zip : 97227-1623
- Phone : (503) 413-4505
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207SG0201X | Clinical Genetics (M.D.) | MD181125 | OR |
| N | 208000000X | Pediatrician | MD181125 | OR |
National Provider Identifier
| NPI | 1326306721 |
|---|---|
| Provider Name | Dr. Andrea Klunder Petersen |
| First Address | Portland, OR 97208-4399 |
| Second Address | Portland, OR 97227-1623 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/04/2012 |
| Last Update Date | 15/11/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.