Dr Timothy Peters

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

MD17287 Issued in OR

Legal business name

DR TIMOTHY PETERS

Doing business as

Nw family mediine

Practice address

605 Welch St
Silverton, OR 97381-1946

Phone

(503) 873-6987

Fax

(503) 873-8923

NPI assigned

Oct 17, 2007

Last updated

Oct 17, 2007By the provider in NPPES

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, MDNPI 1376511998

Title

Owner

Phone

(503) 873-6987

Specialties & licenses 2

Addresses

Other names 1

• Nw family mediine Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timothy Roy Peters, MD

  • Family Medicine Physician
  • Silverton, OR
  • NPI 1376511998
  NPD Authorized official

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1154510998",
    "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",
            "fax_number": "503-873-8923"
        },
        {
            "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",
            "fax_number": "503-873-8923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR TIMOTHY PETERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2007-10-17",
        "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": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "OR",
            "license": "MD17287",
            "primary": false
        },
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "OR",
            "license": "MD17287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nw family mediine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jewel Derin, PT
• Jeanette Dibala, SA-C
• Lenny Eugene Dickens, CRNA
• Ashlie Dill, DOULA
• Jabbo Dire
• Patricia Duncan, LPC
• Durrant Chiropractic PC
• Ann Miriam Durrant, D.C.
• Keirsten Danee Eagles, O.D.
• Hannah G. Eastman, P.T.A.

• 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 Oct 17, 2007; 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.