Petersen, Andrea Klunder

Petersen, Andrea Klunder is an individual health care provider with primary practice located at 2801 N Gantenbein Ave Ste 2225 , Portland OR 97227-1623. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.). Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is her primary health care specialty. Petersen, Andrea Klunder can be contacted via phone (503) 413-4505.

Contact Information

Primary practice address
2801 N Gantenbein Ave Ste 2225 Portland OR 97227-1623
Phone: (503) 413-4505
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD181125 Oregon
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X MD181125 Oregon

Profile Details

NPI number 1326306721
LBN Legal business name Petersen, Andrea Klunder
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2012
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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