IndividualActive
Chris Petersen, PAC
NPI 1952393241 · Surgical Physician Assistant · Salem, OR
Provider details
- NPI number
- 1952393241
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PAC
- Sex
- Male
- Sole proprietor
- No
- License
- PA00211 (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
875 Oak St Se
Suite 5020
Salem, OR 97301-3975
Phone: (503) 226-6321
Fax: (503) 227-3422
Approximate (ZIP-level) locationGet directions
Mailing address
975 Se Sandy Blvd
Portland, OR 97214-1308
Registry dates
- Enumerated
- 2005-08-22
- Last updated
- 2009-08-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.