Northwest Family Medicine L.L.C.

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

MD17287 Issued in OR

Legal business name

NORTHWEST FAMILY MEDICINE L.L.C.

Practice address

605 Welch St
Silverton, OR 97381-1946

Phone

(503) 873-6987

NPI assigned

May 14, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Timothy Roy Peters, MD

Title

Owner

Phone

(503) 873-6987

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• none Former legal business name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423699200000",
    "number": "1124234703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 WELCH ST",
            "city": "SILVERTON",
            "state": "OR",
            "postal_code": "973811946",
            "telephone_number": "503-873-6987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 WELCH ST",
            "city": "SILVERTON",
            "state": "OR",
            "postal_code": "973811946",
            "telephone_number": "503-873-6987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST FAMILY MEDICINE L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2015-02-12",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "ROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-873-6987",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "OR",
            "license": "MD17287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR ERIC NORTH NPI",
            "identifier": "1205807112",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI DR PHOENIX NORTH",
            "identifier": "1336110469",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NUMBER",
            "identifier": "R103594",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR TIM PETERS NPI",
            "identifier": "1376511998",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR SARAH PETERS NPI",
            "identifier": "1427127057",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NW FAMILY MED NPI",
            "identifier": "1124234703",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Beverly Anne Nicholson, PSYD
• Henry E Nino, MD
• Michael Lane Nored, PT
• Eric Morgan North, MD
• Phoenix Senna North, MD
• Olwyn K Davies MD PC
• Oregado Ventures, Inc. (American Ramp Systems)
• Oregon Counseling Collective
• Oregon Garden Resort LLC (Moonstone Spa)
• Oregon Sleep Solutions LLC

• Legal Medicine in Silverton, OR
• Providers in Silverton, OR by specialty
• Legal Medicine in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.