IndividualActive
Jenna Peterson, M.D.
NPI 1922460211 · Critical Care Medicine (Internal Medicine) Physician · Tualatin, OR
Provider details
- NPI number
- 1922460211
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 63421 (MN)
Mailing address
9 W Franklin Ave Apt 306
Minneapolis, MN 55404-2594
Registry dates
- Enumerated
- 2016-03-24
- Last updated
- 2021-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.