PRESTON LANE PETERSON MD
NPI 1245201508
Internal Medicine, Geriatric Medicine in Portland,


Quality Rating: 100 out of 100 score

NPI Status: Active since January 26, 2006

Contact Information

2701 Nw Vaughn St
Portland,
Post Code: 97210
Phone: (503) 499-5200
Fax: (503) 499-5455

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Preston Lane Peterson Md in Portland - Internal Medicine, Geriatric Medicine

Preston Lane Peterson Md is a Internal Medicine, Geriatric Medicine in Portland, . Preston Lane Peterson Md practices all healthcare services and medical treatments related to Internal Medicine, Geriatric Medicine. The NPI Number for Preston Lane Peterson Md is 1245201508. The last update date is 2022-02-04.

Preston Lane Peterson Md's current location address is 2701 Nw Vaughn St, Portland, . You can contact this provider via phone number (503) 499-5200 and fax number (503) 499-5455. The mailing address for Preston Lane Peterson Md is 2701 Nw Vaughn St, Portland, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1245201508
Provider Name
PRESTON LANE PETERSON MD
Gender
Male
Entity Type
Individual
Location Address
2701 Nw Vaughn St, Portland,
Location Phone
(503) 499-5200
Location Fax
(503) 499-5455
Mailing Address
2701 Nw Vaughn St, Portland, Oregon(OR)
Mailing Phone
503-499-5200
Mailing Fax
503-499-5455
Enumeration Date
2006-01-26
Last Update Date
2022-02-04
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine, Geriatric Medicine

Taxonomy Code
207RG0300X
Type
-
License No.
MD25733
License State
Oregon (OR)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 207RG0300X Geriatric Medicine (Internal Medicine) Physician

Internal Medicine, Geriatric Medicine

MD60167468 (Washington)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1245201508
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
228540250
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 228540250
2 + 2 + 8 + 5 + 4 + 0 + 2 + 5 + 0 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 8 8

The NPI number 1245201508 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1033112271 DAVID CANDELARIA
Individual
Family Medicine 280 MAPLE ST
ASHLAND, Oregon (OR)
541-201-4000
1235132499 CLAUDIA BYRNE
Individual
Psychologist 1500 NW BETHANY BLVD STE 200
BEAVERTON, Oregon (OR)
512-709-8311
1174526313 BRIAN LETTS
Individual
Emergency Medicine 2801 ST ANTHONY WAY
PENDLETON, Oregon (OR)
541-276-5121
1043213143 PHILIP Y PADEN EYE CARE OPTICAL
PADEN EYE CARE OPTICAL
Organization
Eyewear Supplier (Equipment, not the service) 221 W STEWART AVE
MEDFORD, Oregon (OR)
541-776-9026
1104829258 AVAMERE MEDICAL SUPPLY LLC
SIGNATURE MEDICAL SUPPLY
Organization
Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition 25117 SW PARKWAY AVE
WILSONVILLE, Oregon (OR)
503-783-2483