Individual provider · Type 1 NPI

Cory Peterson, DC

Chiropractor · Portland, OR

NPI number 1831636612 Active

Practice location

3942 SE Hawthorne Blvd
Portland, OR 97214-5242

Fax (503) 235-3956

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X5797 (OR)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1831636612

Cory Peterson, DC's National Provider Identifier is 1831636612, issued on Jan 31, 2017. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Portland, OR. The record was last updated on Jan 31, 2017.