MR. RICHARD L PETERSON (NPI# 1639104987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639104987 |
| Entity Type | Individual |
| Full Name | MR. RICHARD L PETERSON |
| Credential | DC |
| Practice Address |
2185 Liberty St Ne Salem OR 97301-8353 |
| Practice Telephone | 5033714055 |
| Practice Fax Number | 5033714885 |
| Mailing Telephone | 5033714055 |
| Mailing Fax Number | 5033714885 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2011-10-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 27 1346 | OR | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | PTAN | R0000QGBLR | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386949659 | Richard Nicholas Peterson | Physician Assistant | 1705 E Hanna Rd, Eloy, AZ 85131-9612 | 2011-01-18 |
| 1992034110 | Richard Allen Peterson | Pharmacist | 3918 Breckinridge Dr, Okemos, MI 48864-3829 | 2009-12-17 |
| 1114158706 | Richard Michael Peterson | Chiropractor | 1078 Miramonte Dr, #6, Santa Barbara, CA 93109-1319 | 2009-07-31 |
| 1508981168 | Richard Stephen Peterson | Marriage & Family Therapist | 1000 S Main St Ste 210b, Salinas, CA 93901-2354 | 2007-03-20 |
| 1932201985 | Richard Boyd Peterson | Internal Medicine | 424 Division St, Suite 100, South Charleston, WV 25309-1400 | 2006-09-01 |
| 1659383008 | Richard James Peterson | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 623 39th St W, Suite 2, Bradenton, FL 34205-2408 | 2006-08-13 |
| 1629075205 | Richard Nils Peterson | Family Medicine | 2130 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6405 | 2005-06-28 |
| 1457784340 | Richard O Peterson | Physical Therapist | 4341 Piedmont Ave Ste 201, Oakland, CA 94611-4792 | 2013-08-14 |
| 1285071993 | Richard Franklin Peterson | Social Worker | 4001 W Dayton St, Mchenry, IL 60050-8377 | 2013-06-04 |
| 1720246036 | Richard Peterson | Physical Therapist | 601 N Briarcliff Dr, Appleton, WI 54915-2959 | 2008-05-23 |
| Street Address |
2185 LIBERTY ST NE |
| City | SALEM |
| State | OR |
| Zip Code | 97301-8353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538402169 | Peterson Chiropractic Clinic | Chiropractor | 2185 Liberty St Ne, Salem, OR 97301-8353 | 2013-04-02 |
| 1649511403 | Richard L. Peterson Chiropractic | Chiropractor | 2185 Liberty St Ne, Salem, OR 97301-8353 | 2013-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
| 1093335929 | Sterling Recovery, LLC | Dietitian, Registered | 3758 Amber St Ne #105, Salem, OR 97301 | 2020-04-21 |
| 1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
| 1871126888 | Amity Beth Haddon Maxwell | Social Worker | Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 | 2020-02-18 |
| 1861042632 | Brenda Grizelda Vargas | Behavioral Analyst | 3400 State Ste Ste G750, Salem, OR 97301 | 2019-09-13 |
| 1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
| 1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
| 1801353297 | Gwendolyn Kersey | Registered Nurse | 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 | 2019-02-21 |
| 1841769114 | Spine Clinic PC | Massage Therapist | 1281 Lancaster Drive Ne, Salem, OR 97301 | 2018-11-16 |
| 1013482132 | Kellie Linn Hansen | Physical Therapist | 4049 Market St Se, Salem, OR 97301 | 2018-10-04 |
| Find all providers in zip 97301 | ||||
| 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 |
|---|---|---|---|---|
| 1184230385 | Shelton Chiropractic | Chiropractor | 428 N State Road 198 Ste B, Salem, UT 84653-4605 | 2020-09-22 |
| 1710549126 | Heisler Chiropractic LLC | Chiropractor | 803 W Scenic Rivers Blvd Ste B, Salem, MO 65560-2549 | 2019-07-05 |
| 1740751601 | Delena Jaelaine Brymer | Chiropractor | 7447 Stilson Ln S, Salem, OR 97306-9850 | 2018-12-17 |
| 1538639620 | The Good Place Nw, Inc | Chiropractor | 960 Broadway St Ne Ste 1, Salem, OR 97301-1275 | 2018-11-30 |
| 1982186607 | Jordan E Sajovic, PC | Chiropractor | 2150 Commercial St Se Bsmt Suite, Salem, OR 97302-5379 | 2018-08-29 |
| 1609353424 | Michael Gerard Cardinal | Chiropractor | 1100 Liberty St Se, Suite 2, Salem, OR 97302-9730 | 2018-07-24 |
| 1386146710 | Chiropractic 503 LLC | Chiropractor | 1645 12th St Se, Salem, OR 97302-2820 | 2018-03-01 |
| 1720586506 | Salem Chiropractic and Wellness Corporation | Chiropractor | 631 Jason St Ne, Salem, OR 97301 | 2018-01-26 |
| 1558801258 | Terrill Lane Phelps Jr. | Chiropractor | 591 N State Road 198, Salem, UT 84653-5668 | 2017-02-28 |
| 1821546367 | Danielle M Strawn | Chiropractor | 1201 N Ellsworth Ave, Salem, OH 44460-1539 | 2016-09-13 |
| Find all providers in SALEM | ||||
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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.