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NPI 1144337916 · live from the CMS NPI Registry

Peter William Anderson, DC, PA-C

Physician Assistant, Medical in Salem, OR. National Provider Identifier 1144337916, active.

NPI record

NPI1144337916 Type 1 · individual
StatusActive
Primary specialtyPhysician Assistant, Medical 363AM0700X
Practice location3025 Ryan Dr Se, Salem, OR 97301
Practice phone503-540-9999
Mailing address723 Ne Evans St, Mcminnville, OR 97128
EnumeratedAugust 25, 2006
Last updatedFebruary 20, 2024
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Physician Assistant, Medical primary363AM0700X197354 (OR)
Chiropractor111N00000X2958 (OR)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.