IndividualActive
Mark Peterson, MD
NPI 1003980053 · Vascular Surgery Physician · Salem, OR
Mark Peterson, MD is a Vascular Surgery Physician provider in Salem, OR (NPI 1003980053).
Provider details
- NPI number
- 1003980053
- Entity type
- Individual
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD16135 (OR)
Practice location
925 Commercial St Se Ste 102
Salem, OR 97302-4173
Phone: (503) 561-7227
Fax: (503) 671-8334
Street-level locationGet directions
Mailing address
925 Commercial St Se Ste 102
Salem, OR 97302-4173
Registry dates
- Enumerated
- 2006-11-20
- Last updated
- 2020-10-07
- Certified
- 2020-10-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.