MATTHEW PETERSON (NPI# 1366982985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366982985 |
| Entity Type | Individual |
| Full Name | MATTHEW PETERSON |
| Credential | D.C. |
| Practice Address |
11565 Sw Durham Rd Tigard OR 97224-3553 |
| Practice Telephone | 5036390778 |
| Practice Fax Number | 5036390815 |
| Mailing Telephone | 5036390778 |
| Mailing Fax Number | 5036390815 |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2017-03-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 5805 | OR | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851883607 | Matthew Christopher Peterson | Behavior Technician | 604 Moana Lane, Reno, NV 89509 | 2018-06-06 |
| 1689124430 | Matthew Leif Peterson | Counselor | 2512 Hunters Run Dr, Plano, TX 75025-4768 | 2016-10-05 |
| 1356610810 | Matthew Adam Peterson | Registered Nurse | 8565 S Poplar Way, Littleton, CO 80130 | 2011-12-29 |
| 1083840664 | Matthew Christian Peterson | Podiatrist | 6545 France Ave S Ste 150, Edina, MN 55435-2180 | 2009-06-09 |
| 1508039777 | Matthew S. Peterson | Chiropractor | 103 N. 1st Street, Elma, WA 98541-0656 | 2008-04-09 |
| 1972683340 | Matthew C Peterson | Dentist | 4729 Swift Rd, Sarasota, FL 34231-6433 | 2006-10-17 |
| 1902993629 | Matthew J Peterson | Dentist | 135 Opportunity S Blvd, Cambridge, MN 55008 | 2006-10-06 |
| 1326011891 | Matthew Wade Peterson | Chiropractor | 10456 S Redwood Rd, South Jordan, UT 84095-8501 | 2006-02-07 |
| 1891785606 | Matthew R Peterson | Anesthesiology | 4029 Northwest Ave Ste 301, Bellingham, WA 98226-9077 | 2005-10-24 |
| 1336747369 | Matthew Peterson | Behavior Technician | 12432 Bellflower Blvd, Downey, CA 90242-2806 | 2020-10-12 |
| Street Address |
11565 SW DURHAM RD |
| City | TIGARD |
| State | OR |
| Zip Code | 97224-3553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669474466 | Brandon Jason Schwindt | Dentist | 11565 Sw Durham Rd, Bldg F, Suite 100, Tigard, OR 97224-3553 | 2005-08-11 |
| 1578096954 | Brianna Noelle Tollenaar | Massage Therapist | 11565 Sw Durham Rd, Suite 110, Tigard, OR 97224-3553 | 2017-04-04 |
| 1740643295 | Whitney Arnold | Massage Therapist | 11565 Sw Durham Rd, Suite 110, Tigard, OR 97224-3553 | 2016-04-01 |
| 1811262306 | Brandon Schwindt Dmd PC | Dentist | 11565 Sw Durham Rd, Bldg F, Ste 100, Tigard, OR 97224-3553 | 2012-03-15 |
| 1699057471 | Suzanne Elizabeth Black | Specialist | 11565 Sw Durham Rd, Suite 110, Tigard, OR 97224-3553 | 2011-09-16 |
| 1881876704 | Cornerstone Chiropractic, LLC | Chiropractor | 11565 Sw Durham Rd, Suite 110, Tigard, OR 97224-3553 | 2007-12-03 |
| 1679776603 | Robert J Wood | Dentist | 11565 Sw Durham Rd, Suite 100, Tigard, OR 97224-3553 | 2007-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154973139 | Katherine Raineri | Psychologist | 7213 Sw Hazel Fern Rd, Tigard, OR 97224 | 2019-07-10 |
| 1871064618 | Stacey A Wenzel | Speech-Language Pathologist | 17020 Sw Upper Boones Ferry Rd.,suite 201, Tigard, OR 97224 | 2018-12-05 |
| 1376010090 | Meredith Rae Brezinski | Physical Therapist | 18019 Sw Boones Ferry Road, Tigard, OR 97224 | 2018-10-31 |
| 1649759358 | Viktoriya A Chiliy | Behavior Technician | 15290 Sw Royalty Parkway, Tigard, OR 97224 | 2018-08-13 |
| 1609384866 | Rachel E King | Physical Therapist | 18040 Sw Lower Boones Ferry Rd Ste 200, Tigard, OR 97224 | 2018-01-22 |
| 1689190134 | Isabelle Cooper Klee Caballero | Speech-Language Pathologist | 17020 Sw Upper Boones Ferry Road Suite 201, Tigard, OR 97224 | 2017-08-16 |
| 1427573146 | Breanna M Sandefur | Behavior Technician | 15290 Sw Royalty Pkwy, Tigard, OR 97224 | 2017-08-03 |
| 1083141196 | Krista Espenship | Registered Nurse | 8032 Sw Ashford St, Tigard, OR 97224 | 2017-05-19 |
| 1275067928 | Emily Elizabeth Myers | Behavioral Analyst | 15290 Royalty Parkway, Tigard, OR 97224 | 2017-04-19 |
| 1235684937 | Melanie Salvador | Nurse Practitioner | 15352 Sw Oakmont Pl, Tigard, OR 97224 | 2016-08-23 |
| Find all providers in zip 97224 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295392405 | Jessica Hudson | Chiropractor | 7360 Sw Hunziker Rd Ste 203, Tigard, OR 97223-2306 | 2019-05-22 |
| 1083102867 | Jennifer Collene Simons | Chiropractor | 11481 Sw Hall Blvd Ste 101, Tigard, OR 97223-8403 | 2018-04-26 |
| 1235640277 | Dan Minh Truong | Chiropractor | 9900 Sw Greenburg Rd Ste 185, Tigard, OR 97223-5405 | 2017-10-17 |
| 1144601451 | Daniel Mackay | Chiropractor | 7430 Sw Cherry Dr, Tigard, OR 97223-8041 | 2015-06-11 |
| 1881031334 | Elevation Chiropractic and Rehabilitation | Chiropractor | 9370 Sw Greenburg Rd Ste 605, Tigard, OR 97223-5442 | 2013-05-23 |
| 1073885166 | John Carlson | Chiropractor | 10260 Sw Greenburg Rd Ste 414, Tigard, OR 97223-5500 | 2012-02-03 |
| 1609189513 | Justin Michael Davis | Chiropractor | 9370 Sw Greenburg Rd # 605, Tigard, OR 97223-5442 | 2010-07-20 |
| 1225363419 | Daniel Burnett | Chiropractor | 12725 Sw 66th Ave Ste 205, Tigard, OR 97223-2548 | 2009-10-06 |
| 1598993073 | James J Lybarger | Chiropractor | 8861 Sw Commercial St, Tigard, OR 97223 | 2009-06-23 |
| 1144475302 | Kelly Otto | Chiropractor | 9735 Sw Shady Ln Ste 303, Tigard, OR 97223-5481 | 2008-12-01 |
| Find all providers in TIGARD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.