Active NPI
Douglas George Peterson, DC
- Chiropractor
- Portland, OR
National Provider Identifier
1982688388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 271570
- Practice address
- 3030 SW Moody Ave
Ste 102
Portland, OR 97201-4867 - Phone
- (503) 224-2225
- Fax
- (503) 222-3883
- NPI assigned
- Nov 30, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 271570 | OR | Primary |
Addresses
Primary practice location
3030 SW Moody Ave
Ste 102
Portland, OR 97201-4867
Mailing address
3030 SW Moody Ave
Ste 102
Portland, OR 97201-4867
Phone (503) 224-2225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 271570 | OR | MD | Chiropractor |
| 1570 | OR | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paul Edward Okamoto | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1982688388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3030 SW MOODY AVE",
"address_2": "STE 102",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972014867",
"telephone_number": "503-224-2225",
"fax_number": "503-222-3883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 SW MOODY AVE",
"address_2": "STE 102",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972014867",
"telephone_number": "503-224-2225",
"fax_number": "503-222-3883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "DOUGLAS",
"middle_name": "GEORGE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-30",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "271570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.