Brian Christopher Peterson, B.S. PSYCHOLOGY

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

2485 Roosevelt Blvd
Eugene, OR 97402-2562

Phone

(541) 689-3111

Fax

(541) 607-0625

NPI assigned

Feb 26, 2008

Last updated

Feb 26, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203984000000",
    "number": "1437328267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2485 ROOSEVELT BLVD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974022562",
            "telephone_number": "541-689-3111",
            "fax_number": "541-607-0625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2485 ROOSEVELT BLVD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974022562",
            "telephone_number": "541-689-3111",
            "fax_number": "541-607-0625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "BRIAN",
        "middle_name": "CHRISTOPHER",
        "credential": "B.S. PSYCHOLOGY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-26",
        "last_updated": "2008-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Petersen, PHARMD
• Sarah Jane Petersen, LCSW
• Seth J Petersen
• Ivy Louise Peterson East
• Amy Peterson, QMHP
• Carl Verner Peterson, PH.D.
• Charlotte Peterson, PH.D.
• Emily Adams Peterson, MSW, QMHP
• Evelyn Birgitta Peterson, LMT
• Jayson Lee Peterson, M.ED., LMFT

• Case Manager/Care Coordinator in Eugene, OR
• Providers in Eugene, OR by specialty
• Case Manager/Care Coordinator in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.