Jeramy Richard Peters (NPI# 1932594066, PAC ID# 6204143308) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1932594066 |
| PAC ID by PECOS | 6204143308 |
| Professional Enrollment ID | I20190717002773 |
| Full Name | Jeramy Richard Peters |
| Organization Legal Name | LIFEWORKS NW |
| Address |
971 Sw Walnut St Hillsboro OR 97123-5651 |
| Phone Number | 5036405297 |
| Gender | M |
| Medical School | KANSAS CITY COLLEGE OF MEDICINE AND SURGERY |
| Graduation Year | 2015 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 1850282575 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380009 | OHSU HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 971 Sw Walnut St, Hillsboro, OR 97123-5651 | 5036405297 | LIFEWORKS NW |
| 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 5034948311 | UNIVERSITY PROFESSIONAL SERVICES |
| Organization Legal Name | LIFEWORKS NW |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Annaliese Hazlett | Clinical Social Worker | Lifeworks Nw | 17214 Se Division St, Portland, OR 97236-1282 |
| Gerald Peake | Nurse Practitioner | Lifeworks Nw | 400 Ne 7th St, Gresham, OR 97030-5604 |
| Ian R Starr | Psychiatry | Lifeworks Nw | 971 Sw Walnut St, Hillsboro, OR 97123-5651 |
| Kathie L Yelliott | Clinical Social Worker | Lifeworks Nw | 14600 Nw Cornell Rd, Portland, OR 97229-5442 |
| Annemieke Clark | Nurse Practitioner | Lifeworks Nw | 971 Sw Walnut St, Hillsboro, OR 97123-5651 |
| Sofia Khan | Clinical Social Worker | Lifeworks Nw | 971 Sw Walnut St, Hillsboro, OR 97123-5651 |
| Janice T Shelby | Psychiatry | Lifeworks Nw | 971 Sw Walnut St, Hillsboro, OR 97123-5651 |
| Jarrell C Meier | Psychiatry | Lifeworks Nw | 971 Sw Walnut St, Hillsboro, OR 97123-5651 |
| Robert O Olsen | Psychiatry | Lifeworks Nw | 14600 Nw Cornell Rd, Portland, OR 97229-5442 |
| Margaret A Scharf | Nurse Practitioner | Lifeworks Nw | 971 Sw Walnut St, Hillsboro, OR 97123-5651 |
| Street Address |
971 SW WALNUT ST |
| City | HILLSBORO |
| State | OR |
| Zip | 97123-5651 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ian R Starr | Psychiatry | Lifeworks Nw | 971 Sw Walnut St, Hillsboro, OR 97123-5651 |
| Annemieke Clark | Nurse Practitioner | Lifeworks Nw | 971 Sw Walnut St, Hillsboro, OR 97123-5651 |
| Sofia Khan | Clinical Social Worker | Lifeworks Nw | 971 Sw Walnut St, Hillsboro, OR 97123-5651 |
| Janice T Shelby | Psychiatry | Lifeworks Nw | 971 Sw Walnut St, Hillsboro, OR 97123-5651 |
| Jarrell C Meier | Psychiatry | Lifeworks Nw | 971 Sw Walnut St, Hillsboro, OR 97123-5651 |
| Margaret A Scharf | Nurse Practitioner | Lifeworks Nw | 971 Sw Walnut St, Hillsboro, OR 97123-5651 |
| Eva A Sripada | Nurse Practitioner | Lifeworks Nw | 971 Sw Walnut St, Hillsboro, OR 97123-5651 |
| William Bond | Clinical Social Worker | Lifeworks Nw | 971 Sw Walnut St, Hillsboro, OR 97123-5651 |
| Janet M Nickolaus | Nurse Practitioner | Lifeworks Nw | 971 Sw Walnut St, Hillsboro, OR 97123-5651 |
| Ryan Douglas | Clinical Social Worker | Lifeworks Nw | 971 Sw Walnut St, Hillsboro, OR 97123-5651 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronald Lewis Teed | Orthopedic Surgery | 425 Se Baseline, Hillsboro, OR 97123 | |
| Wendela E Miller | Physical Therapy | Physical Therapy and Hand Clinic of Hillsboro | 620 Sw Oak St A, Hillsboro, OR 97123-3805 |
| Jaleen L Klink | Nurse Practitioner | 1049 Sw Baseline St, Suite D490, Hillsboro, OR 97123-3857 | |
| James D Surface | Physical Therapy | 1050 Sw Baseline St, Suite 8, Hillsboro, OR 97123-3873 | |
| Yulia V Brockdorf | Registered Dietitian Or Nutrition Professional | 428 Sw Oak St, Hillsboro, OR 97123-3936 | |
| Sigrid Katzenberger Hodges | Chiropractic | 329 Se 3rd Ave, Hillsboro, OR 97123-4001 | |
| Patrick D Bourlon | Chiropractic | 233 Se Washington St, Hillsboro, OR 97123-4023 | |
| Lily Davis | Clinical Social Worker | 233 E Main St, Suite 214, Hillsboro, OR 97123-4066 | |
| Greg W Brown | Pediatric Medicine | 445 E Main St, Hillsboro, OR 97123-4084 | |
| Kelcey J Chilcott | Nurse Practitioner | Hillsboro Pediatric Clinic LLC | 445 E Main St, Hillsboro, OR 97123-4084 |
| Find all physicians in zip 97123 | |||
| City | HILLSBORO |
| Zip Code | 97123 |
| Specialty | PSYCHIATRY |
| City + Specialty | HILLSBORO + PSYCHIATRY |
Please comment or provide details below to improve the information on Jeramy Richard Peters.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.