Carol J Petherbridge, ND

Primary specialty

NaturopathTaxonomy code 175F00000X

License

0667-R Issued in OR

Practice address

198 South East 3Rd Street
Bend, OR 97702

Phone

(541) 241-2763

Fax

(541) 897-8960

NPI assigned

Sep 26, 2015

Last updated

Jan 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Back to Health Chiropractic Alliance, LLC

  • Chiropractor
  • Klamath Falls, OR
  • NPI 1235173196
  NPD (past)

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

{
    "created_epoch": "1443225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1417327933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 SW CENTURY DR SUITE 111",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97702",
            "telephone_number": "541-797-6224",
            "fax_number": "541-797-6274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 SOUTH EAST 3RD STREET",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97702",
            "telephone_number": "541-241-2763",
            "fax_number": "541-897-8960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "621 Klamath Ave",
            "address_purpose": "LOCATION",
            "city": "Klamath Falls",
            "state": "OR",
            "postal_code": "976016130",
            "country_code": "US",
            "telephone_number": "541-331-3678",
            "fax_number": "541-882-5897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETHERBRIDGE",
        "first_name": "CAROL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-26",
        "last_updated": "2024-01-12",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "0667R",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "0667-R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodi Peterson
• Johanna Rae Peterson, PA-C
• Lindsey Peterson, PA-C
• Sarah Elizabeth Peterson, LCSW
• Theresa Ann Peterson
• Nickolas Petragallo, CRM/PSS
• Jacqueline Petrovic
• Sheyanne L Petrovich, LCSW
• Kevin Richard Pett, PHD, DAOM
• Lorri M Petterson, RN

• Naturopath in Bend, OR
• Providers in Bend, OR by specialty
• Naturopath in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.