DR. DOUGLAS GEORGE PETERSON


Address: 3030 Sw Moody Ave, Ste 102, Portland, OR 97201-4867
Phone: 5032242225

DR. DOUGLAS GEORGE PETERSON (NPI# 1982688388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982688388
Entity Type Individual
Full Name DR. DOUGLAS GEORGE PETERSON
Credential DC
Practice Address 3030 Sw Moody Ave
Ste 102
Portland
OR 97201-4867
Practice Telephone 5032242225
Practice Fax Number 5032223883
Mailing Telephone 5032242225
Mailing Fax Number 5032223883
Enumeration Date 2005-11-30
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111N00000X Chiropractor 271570 OR Chiropractic Providers

Other Providers DOUGLAS PETERSON

NPI Name Taxonomy Address Enumeration
1972071777 Douglas Peterson Acupuncturist 333 E 46th St Apt 1j, New York, NY 10017-7426 2018-11-09
1952520710 Douglas Don Peterson Dentist 2411 10th Ave N, Lake Worth, FL 33461-3128 2007-04-24
1770688756 Douglas Bruce Peterson Dentist 8470 Us Hwy 2, Iron River, WI 54847-0400 2006-09-14
1437267440 Douglas B Peterson Internal Medicine 1512 W 4th St, Marshfield, WI 54449-2509 2006-08-29
1710962832 Douglas Peterson Emergency Medicine 1630 Anderson Ave, Buffalo, MN 55313-2945 2005-12-13
1932399938 Douglas Allen Peterson Clinical Neuropsychologist 16935 W Bernardo Dr, 238, San Diego, CA 92127-1634 2007-07-26
1609083856 Douglas A Peterson Dentist 9 Middletown Lincroft Rd, Lincroft, NJ 07738-1511 2007-05-17
1174739288 Douglas Charles Peterson Pediatrics 9260 Laguna Springs Dr, Suite E2-308, Elk Grove, CA 95758-7947 2007-05-15
1023142585 Douglas Jed Peterson Chiropractor 650 N State St, Suite #1, Shelley, ID 83274-5167 2007-03-15
1659408649 Douglas G Peterson Chiropractor 1765 Taft Ave, Oshkosh, WI 54902-3220 2007-02-27

Office Location

Street Address 3030 SW MOODY AVE
STE 102
City PORTLAND
State OR
Zip Code 97201-4867

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558762401 Richie Kohli Dentist 3030 Sw Moody Ave, Portland, OR 97201-4869 2014-09-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780206060 Laura Elizabeth Jackson Student in an Organized Health Care Education/Training Program 2730 S Moody Ave, Portland, OR 97201 2020-05-10
1225659063 Amanpreet Kaur Student in an Organized Health Care Education/Training Program Ohsu Physician Assistant Program, 2730 South Moody Ave. Mail Code: Cl5pa, Portland, OR 97201 2020-05-04
1063033801 Aaron Kinn Student in an Organized Health Care Education/Training Program Ohsu Division of Physician Assistant Education - Cl5pa, 2730 Sw Moody Avenue, Portland, OR 97201 2020-05-04
1487275442 Erin Aleen Ostlie-madden Student in an Organized Health Care Education/Training Program 2730 South Moody Ave, Portland, OR 97201 2020-04-30
1104446681 Skycloud Psychiatry LLC Nurse Practitioner 106 South West Woods St, Portland, OR 97201 2020-04-24
1740825587 Dalia Bayaa Pharmacist 325 Sw Harrison Street, Portland, OR 97201 2019-11-15
1780172619 Susan Elizabeth Christian Barrios Social Worker 1505 Sw College St, Portland, OR 97201 2018-04-26
1730696576 Fiona Everett Counselor 1703 Sw Clay St, Portland, OR 97201 2018-01-02
1437678844 Akira Thomas Neilsen Student in an Organized Health Care Education/Training Program 1930 Sw River Drive, Unit 102, Portland, OR 97201 2017-09-18
1285171736 Howard Mitchell Technician, Other 1110 Sw Clay Street Apt. 34, Portland, OR 97201 2017-01-23
Find all providers in zip 97201

Taxonomy Information

Taxonomy Code 111N00000X
Grouping Chiropractic Providers
Classification Chiropractor

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700486958 Amy Elizabeth Goebel Chiropractor 5103 Se Stark St Apt B, Portland, OR 97215-1764 2020-10-27
1003423914 Evergreen Chiropractic PC Chiropractor 7145 Sw Varns St Ste 203, Portland, OR 97223-8168 2020-09-24
1750993283 University of Western States Healthcare Inc Chiropractor 8000 Ne Tillamook St, Portland, OR 97213-6655 2020-08-17
1518587989 Kristy Pearl Arneson Chiropractor 3715 Se Cesar E Chavez Blvd, Portland, OR 97202-1704 2020-04-25
1770102956 Behireta Corbadzic Chiropractor 12923 Se Foster Rd Unit G703, Portland, OR 97236-4702 2020-04-08
1134754427 Bonnie Anderson Chiropractor 3539 N Williams Ave Ste 202a, Portland, OR 97227-1437 2020-03-06
1629601372 Megan Adele Robles Chiropractor 2100 Ne Broadway St Ste 255, Portland, OR 97232-1544 2020-02-20
1306479472 Naomi M Enos-burles Chiropractor 7332 Sw 13th Dr Apt A, Portland, OR 97219-2089 2020-02-18
1184256927 Michael Nicosia Chiropractor 207 Santa Monica St, Portland, TX 78374-2645 2020-02-10
1942832258 Tracy Yvonne Still Chiropractor 3905b Ne Grand Ave Unit B, Portland, OR 97212-1107 2020-02-05
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97201

Improve Information

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Dataset Information

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.

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