SHARON ROSE PETERSON (NPI# 1336304138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336304138 |
| Entity Type | Individual |
| Full Name | SHARON ROSE PETERSON |
| Credential | MD |
| Practice Address |
11200 Sw Murray Scholls Pl Ste 100 Beaverton OR 97007 |
| Mailing Address |
11200 Sw Murray Scholls Pl Ste 100 Beaverton OR 97007-9816 |
| Practice Telephone | 5038132000 |
| Mailing Telephone | 5038133860 |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2018-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD153463 | OR | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 559 W Washington St, Burns, OR 977201441 | 5415732074 | 5415738893 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982130084 | Sharon Peterson | Preferred Provider Organization | 6118 Mayflower Ave, Cincinnati, OH 45237-4820 | 2017-05-10 |
| 1134576457 | Sharon Dawn Peterson | Social Worker | 400 Beechwood Ave, Ewing, NJ 08618-2524 | 2016-05-17 |
| 1952677312 | Sharon Ann Peterson | Registered Nurse | 2980 Rice St, Little Canada, MN 55113-2230 | 2012-03-29 |
| 1194951939 | Sharon Elizabeth Peterson | Speech-Language Pathologist | 35 Ross Ln, Mount Sinai, NY 11766-2521 | 2009-06-08 |
| 1841324324 | Sharon Peterson | Social Worker | 8744 Main St Ste 403, Woodstock, GA 30188 | 2007-03-15 |
| 1083230437 | Sharon E Peterson | Counselor | 8910 Clairemont Mesa Blvd, San Diego, CA 92123-1104 | 2020-06-22 |
| 1740683572 | Sharon Peterson | Nurse Practitioner | 2045 N Franklin St, Denver, CO 80205-5437 | 2014-10-07 |
| 1346584943 | Sharon L Peterson | Dietitian, Registered | 8877 Se 165th Mulberry Ln, The Villages, FL 32162-5887 | 2012-11-20 |
| 1386777043 | Sharon Ann Peterson | Counselor | 3331 Power Inn Rd, 190, Sacramento, CA 95826-3889 | 2007-03-13 |
| 1780761585 | Sharon S Peterson | Oral & Maxillofacial Surgery | 12121 Richmond Ave, Ste 316, Houston, TX 77082 | 2006-11-01 |
| Street Address |
11200 SW MURRAY SCHOLLS PL STE 100 |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609278100 | Khang Jimmy Minh Duong | Pharmacist | 11200 Sw Murray Scholls Pl Ste 100, Beaverton, OR 97007-9816 | 2014-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891272225 | Ben Shepherd Cohn | Massage Therapist | 16088 Sw Hillary Pl, Beaverton, OR 97007 | 2018-07-27 |
| 1013410455 | Taryn Weslie Van Vliet | Counselor | Forward Stride, 23839 Sw Daniel Rd., Beaverton, OR 97007 | 2018-03-12 |
| 1588181184 | Sarah Rennalls | Massage Therapist | 16315 Sw Barrows Road #203, Beaverton, OR 97007 | 2017-08-24 |
| 1982137501 | Patrick N Huynh | Nurse Practitioner | 14795 Sw Scholls Dr., Beaverton, OR 97007 | 2017-04-10 |
| 1841675428 | Jessica C Moore | Social Worker | 4585 Sw185th Ave, Beaverton, OR 97007 | 2015-07-24 |
| 1205233913 | Julie Guzman | Case Manager/Care Coordinator | 4585 Sw 185th Ave., Beaverton, OR 97007 | 2014-11-24 |
| 1255738183 | Jennifer Kenedy | Case Manager/Care Coordinator | 4585 Sw 185th Avenue, Aloha, OR 97007 | 2014-11-20 |
| 1053754069 | Dr Bob Health Centre | Internal Medicine | 16325 Sw Sexton Mountain Dr, Beaverton, OR 97007 | 2013-04-09 |
| 1518211713 | Rosebelinda S Nelson | Dental Hygienist | 3895 Sw 18th Ave. #170, Aloha, OR 97007 | 2012-11-09 |
| 1073871240 | Suzanne Mcreynolds | Mechanotherapist | 16784 Sw Vincent St, Beaverton, OR 97007 | 2012-04-25 |
| Find all providers in zip 97007 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041071 | Christina Cabelly | Family Medicine | 16305 Sw Loon Dr, Beaverton, OR 97007-8989 | 2020-10-23 |
| 1447614805 | Hillary Jenson | Family Medicine | 12345 Sw Horizon Blvd Ste 57a, Beaverton, OR 97007-9475 | 2016-04-11 |
| 1972999720 | Alexandra Werner | Family Medicine | 2725 Sw Cedar Hills Blvd Ste 2a, Beaverton, OR 97005-1344 | 2015-04-08 |
| 1952796468 | Lisa Kipersztok | Family Medicine | 2725 Sw Cedar Hills Blvd, Beaverton, OR 97005-1416 | 2015-04-01 |
| 1912349184 | Robin Sewall | Family Medicine | 17175 Sw Tualatin Valley Hwy Ste B2, Beaverton, OR 97003-4584 | 2013-07-29 |
| 1528224060 | David Barclay Luce | Family Medicine | 20229 Sw Tremont Way, Beaverton, OR 97007-8594 | 2008-08-04 |
| 1801052477 | Nishanie Bisorca | Family Medicine | 1960 Nw 167th Pl Ste 100, Beaverton, OR 97006-4805 | 2008-08-04 |
| 1619980125 | Ezra Azhar | Family Medicine | 3415 Sw 187th Ave, Beaverton, OR 97006-3106 | 2006-08-14 |
| 1083628556 | Gerald Wendal Miller | Family Medicine | 1960 Nw 167th Place, Suite 103, Beaverton, OR 97006 | 2006-07-28 |
| 1902842081 | Robert Pentz Barlow | Family Medicine | 2725 Sw Cedar Hills Blvd Ste 250, Beaverton, OR 97005-1344 | 2006-06-20 |
| Find all providers in BEAVERTON | ||||
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| 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.