Mario Cesar Petersen, MD

Developmental - Behavioral Pediatrics Physician · Eugene, OR

Individual Active NPI

NPI number 1760490239

Practice location

901 E 18TH Ave
Eugene, OR 97403-1354
Phone
(541) 346-3575
Fax
(541) 346-5844

Open in Google Maps

NPI record

NPI
1760490239
Entity type
Individual (Type 1)
Enumeration date
August 3, 2006
Last updated
August 30, 2023
Certified
August 30, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Developmental - Behavioral Pediatrics Physician Primary 2080P0006X MD26196 OR
Pediatrics Physician 208000000X MD26196 OR
Developmental - Behavioral Pediatrics Physician 2080P0006X 4301116723 MI
Pediatric Neurodevelopmental Disabilities Physician 2080P0008X MD26196 OR
Pediatric Neurodevelopmental Disabilities Physician 2080P0008X 4301116723 MI

Other practice locations (1)

  • 35 Michigan St NE Ste 3003, Grand Rapids, MI 49503-2528 · (616) 267-2009

About Dr. Petersen

Mario Cesar Petersen, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Developmental - Behavioral Pediatrics Physician (code 2080P0006X). The practice location is 901 E 18TH Ave, Eugene, OR 97403-1354. The NPI number 1760490239 was assigned on August 3, 2006 and the record was last updated on August 30, 2023.

Dr. Petersen lists 5 licenses in the registry: #MD26196 (OR) for Developmental - Behavioral Pediatrics Physician; #MD26196 (OR) for Pediatrics Physician; #4301116723 (MI) for Developmental - Behavioral Pediatrics Physician; #MD26196 (OR) for Pediatric Neurodevelopmental Disabilities Physician; #4301116723 (MI) for Pediatric Neurodevelopmental Disabilities Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mario Cesar Petersen, MD?

The NPI number is 1760490239.

What is the phone number of Dr. Petersen?

The phone number listed for the practice location is (541) 346-3575.

Where is Dr. Petersen located?

901 E 18TH Ave, Eugene, OR 97403-1354.

What is the taxonomy code for Dr. Petersen?

The primary taxonomy code is 2080P0006X – Developmental - Behavioral Pediatrics Physician; 4 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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