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Contact Information

PETER W ANDERSON, DC, PA-C
3025 RYAN DR SE
SALEM, OR97301-5057
 Phone: 503-540-9999
 Fax: 503-540-3105
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
 

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for PETER W ANDERSON · (Male)

NPI # 1144337916
Status Active
Credentials DC, PA-C
Entity Individual
Enumeration date 08/25/2006
Last updated 02/20/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • OR License # 197354
  • OR License # 2958
Hospital affiliation(s)
  • SALEM HOSPITAL - (Acute Care)
    890 OAK STREET, SE
    SALEM, OR 97301
  • WEST VALLEY HOSPITAL - (Critical Access)
    525 SE WASHINGTON STREET
    DALLAS, OR 97338
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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