IndividualActive
Andrew Peterson, M.D.
NPI 1093779365 · Internal Medicine Physician · Ontario, OR
Provider details
- NPI number
- 1093779365
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MDO9438 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1050 Sw 3rd Ave
#3200
Ontario, OR 97914-2193
Phone: (541) 881-7373
Fax: (541) 881-7186
Street-level locationGet directions
Mailing address
1050 Sw 3rd Ave
Ontario, OR 97914-2193
Registry dates
- Enumerated
- 2006-04-13
- Last updated
- 2009-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.