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).
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 |
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 |
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 |
Street Address |
10201 SE MAIN ST PORTLAND LUNG CLINIC |
City | PORTLAND |
State | OR |
Zip Code | 97216-2937 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 97216 |
Taxonomy Code | 207RS0012X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Sleep Medicine |
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] |
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 |
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 |
Please comment or provide details below to improve the information on VANESSA L PETERSON.
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.