Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Randolph E Peterson, MD

Individual provider Orthopaedic Surgery Physician · NPI 1669461364

Randolph E Peterson, MD is an Orthopaedic Surgery Physician in Ontario, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

840 SW 4th Ave
Ontario, OR 97914-2627
Phone: (541) 889-2899
Fax: (541) 889-2883
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 19969 (OR)

Record details

NPI number1669461364
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 17, 2005
Last updated in NPPESJuly 8, 2007

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