VANESSA L PETERSON


Address: 10201 Se Main St, Portland Lung Clinic, Portland, OR 97216-2937
Phone: 5032532248

VANESSA L PETERSON (NPI# 1205958576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205958576
Entity Type Individual
Full Name VANESSA L PETERSON
Credential MD
Practice Address 10201 Se Main St
Portland Lung Clinic
Portland
OR 97216-2937
Mailing Address 10201 Se Main St Ste 11
Portland Lung Clinic
Portland
OR 97216-2937
Practice Telephone 5032532248
Mailing Telephone 5032532248
Enumeration Date 2007-04-05
Last Update Date 2012-10-12
NPI Deactivation Date 07/17/2007
NPI Reactivation Date 2007-07-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RS0012X Internal Medicine
Specialization: Sleep Medicine
MD60237646 WA Allopathic & Osteopathic Physicians
Y 207RS0012X Internal Medicine
Specialization: Sleep Medicine
MD151179 OR Allopathic & Osteopathic Physicians

Other Providers VANESSA PETERSON

NPI Name Taxonomy Address Enumeration
1669987111 Vanessa Mae Peterson Foster Care Agency 2012 Osprey Place Nw, Stewartville, MN 55976 2017-12-06
1285027979 Vanessa Peterson Counselor 1 Beechwood Ln, Burlington, NJ 08016-9769 2015-03-05
1912348145 Vanessa Noel Browne Peterson Dentist 436 N Mountain Ave, Upland, CA 91786 2013-07-16
1720386840 Vanessa Peterson Social Worker 857 E 200 S, Salt Lake City, UT 84102-2317 2011-03-14
1871612069 Vanessa Irene Peterson Specialist 1911 Mountain View Lane, Suite 300, Forest Grove, OR 97116 2007-03-28

Office Location

Street Address 10201 SE MAIN ST
PORTLAND LUNG CLINIC
City PORTLAND
State OR
Zip Code 97216-2937

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598757452 Samuel Albert Camacho Internal Medicine 10201 Se Main St, Suite 10, Portland, OR 97216-2937 2005-08-17
1316339229 Jenna Clowers Physician Assistant 10201 Se Main St, Suite 9, Portland, OR 97216-2937 2015-03-02
1861700130 Northwest Renal Clinic, Inc. Internal Medicine 10201 Se Main St, Suite 27, Portland, OR 97216-2937 2010-09-20
1881919348 Macy Ann Martinson Internal Medicine 10201 Se Main St, Suite 27, Portland, OR 97216-2937 2010-03-28
1215261920 Ninfa Johnson Neuser Counselor 10201 Se Main St, Ste 10, Portland, OR 97216-2937 2009-09-28
1881851368 Aumyot Prongdong Internal Medicine 10201 Se Main St, Suite 27, Portland, OR 97216-2937 2008-05-21
1477617512 Kevin Khaw Internal Medicine 10201 Se Main St, Suite 25, Portland, OR 97216-2937 2006-12-21
1912079500 Leonard R Bertheau Family Medicine 10201 Se Main St, Suite 10, Portland, OR 97216-2937 2006-11-15
1043318405 Jeffrey Aaron Komisarof Internal Medicine 10201 Se Main St, Suite 27, Portland, OR 97216-2937 2006-09-20
1326157462 Kidney Care Inc Internal Medicine 10201 Se Main St, Suite 27, Portland, OR 97216-2937 2006-08-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316468341 Accident Care Chiropractic and Massage of Salem Clinic/Center 2168 Lancaster Dr. Ne, Portland, OR 97216 2017-06-29
1528508520 Damone Brown Peer Specialist 10209 Se Washington St, Suite D, Portland, OR 97216 2017-02-24
1861937237 Malachai Investments LLC Clinical Medical Laboratory 10,000 Se Main St, Ste 360, Portland, OR 97216 2016-12-21
1881136836 Krista Marie Darnell Occupational Therapy Assistant 1475, Se 100th Avenue, Portland, OR 97216 2016-11-08
1821456559 Sean Kelly Counselor 10564 Se Washington Street, Portland, OR 97216 2016-02-09
1174908321 Phil Bergland Counselor 11220 Se Stark St, Suite 6, Portland, OR 97216 2015-07-29
1134507346 Beth Lopez Massage Therapist 5814 Se Stark Street, Portland, OR 97216 2015-05-08
1982081477 Amelia C Hunt Counselor 10564 Se Washinton Street, Portland, OR 97216 2015-05-04
1073907978 Karen Ta Emergency Medicine 10300 Se Main St, Portland, OR 97216 2015-03-27
1265823298 Laura Catherine Anderson Occupational Therapist 1475 Se 100th Avenue, Portland, OR 97216 2015-02-12
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Taxonomy Information

Taxonomy Code 207RS0012X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Sleep Medicine

Taxonomy Definition

An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194770370 Daniel Bryan Root Internal Medicine 2228 Nw Pettygrove St, Portland, OR 97210-2608 2006-05-24
1043693864 Gerald B Rich Md PC Internal Medicine 11790 Sw Barnes Rd Ste 330, Portland, OR 97225-5935 2015-06-30
1528334604 Somnique Health PC Internal Medicine 9450 Sw Barnes Rd, Suite# 140, Portland, OR 97225-6619 2012-03-22
1083855175 Gerald B Rich, Md, PC Internal Medicine 11790 Sw Barnes Rd, Suite 330, Portland, OR 97225-5934 2009-03-19
1700088838 Curtis R Holzgang Internal Medicine 9205 Sw Barnes Rd, Suite 20, Portland, OR 97225-6603 2007-06-01
1386754398 Eastmoreland Ear, Nose & Throat, Clinic, LLP Internal Medicine 9200 Se 91st Ave, Suite 200, Portland, OR 97266-6756 2006-08-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1740590272 Julio Roberto Noda Milla Internal Medicine 890 Oak St Se Ste 3060, Salem, OR 97301 2010-10-18
1154716900 Chloe Brandow Manchester Internal Medicine 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 2015-03-30
1255618955 Natalia Usatii Internal Medicine 2042 Ne Williamson Ct, Bend, OR 97701-3760 2011-11-08
1578873097 Salem Sleep Medicine, PC Internal Medicine 925 Commercial St Se, Suite 102, Salem, OR 97302-4172 2010-10-18

Competitor

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City PORTLAND
Zip Code 97216

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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