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IndividualActive

Gary Peterson

CADC 2

Counselor - Addiction (Substance Use Disorder)

NPI: 1114384039White City, Oregon, 97503(541) 826-2111Male

About Gary Peterson

Gary Peterson, CADC 2, is a male healthcare professional specializing in Counselor - Addiction (Substance Use Disorder) with a focus on Addiction (Substance Use Disorder), registered under National Provider Identifier (NPI) number 1114384039.

Their primary practice is located at 8495 CRATER LAKE HWY, White City, Oregon 97503. Patients can reach the office at (541) 826-2111. Gary Peterson has been NPI-registered since 2016.

Doctor Details

Identity & Credentials

NPI Number
1114384039
Entity Type
Individual
First Name
Gary
Last Name
Peterson
Credential
CADC 2
Gender
Male
Sole Proprietor
No
Status
active

Primary Practice Location

Address
8495 CRATER LAKE HWY
City
White City
State
Oregon
ZIP
97503-3011
Country
United States
Phone
(541) 826-2111

Specialty & Taxonomy

Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Classification
Counselor
Specialization
Addiction (Substance Use Disorder)
Taxonomy Code
101YA0400X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
8495 CRATER LAKE HWY
City
WHITE CITY
State
OR
ZIP
975033011

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Gary Peterson's NPI number?
Gary Peterson's National Provider Identifier (NPI) is 1114384039. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Gary Peterson specialize in?
Gary Peterson specializes in Counselor - Addiction (Substance Use Disorder).
Where is Gary Peterson located?
Gary Peterson practices at 8495 CRATER LAKE HWY, White City, Oregon 97503. You can reach them by phone at (541) 826-2111.
Does Gary Peterson accept Medicare?
Based on available data, Gary Peterson is not currently enrolled in the Medicare program.
Does Gary Peterson offer telehealth or virtual visits?
Gary Peterson does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Gary Peterson is 1114384039.