DR. KRISTOPHER BRYAN PETERSON (NPI# 1790810844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790810844 |
| Entity Type | Individual |
| Full Name | DR. KRISTOPHER BRYAN PETERSON |
| Credential | D.C. |
| Practice Address |
1002 W Elm Ave Hermiston OR 97838-2711 |
| Mailing Address |
1002 W Elm Ave Po Box 211 Hermiston OR 97838-2711 |
| Practice Telephone | 5415676277 |
| Practice Fax Number | 5415679055 |
| Mailing Telephone | 5415676277 |
| Mailing Fax Number | 5415679055 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NI0900X |
Chiropractor Specialization: Internist |
1525 | OR | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548607526 | Kristopher W Peterson | Physical Therapist | 701 Demers Ave, Grand Forks, ND 58201-4506 | 2013-05-30 |
| 1003862871 | Kristopher Wyllis Peterson | Chiropractor | 5703 75th St, Kenosha, WI 53142-3603 | 2006-05-25 |
| Street Address |
1002 W ELM AVE |
| City | HERMISTON |
| State | OR |
| Zip Code | 97838-2711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043372303 | Kenzie Lynne Maloy | Chiropractor | 1002 W Elm Ave, Hermiston, OR 97838-2711 | 2006-12-14 |
| 1073010880 | Anton Lynn Alder | Naturopath | 1002 W Elm Ave, Hermiston, OR 97838 | 2018-04-09 |
| 1386768265 | Kenneth Dean Peterson | Chiropractor | 1002 W Elm Ave, Hermiston, OR 97838-2711 | 2007-03-18 |
| 1437273497 | Kristopher B Peterson, Dc PC | Chiropractor | 1002 W Elm Ave, Hermiston, OR 97838-2711 | 2007-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275169096 | Aaron Nelson Fitzcharles I | Pharmacist | Rite Pharmacy 835 S Hwy 395, Hermiston, OR 97838 | 2020-03-13 |
| 1558921494 | Hermiston Neck Back and Accident Speacialist | Chiropractor | 1055 S Hwy 395, Hermiston, OR 97838 | 2019-06-13 |
| 1598211997 | Maria Faaeteete | Registered Nurse | 600 Nw 11th St. Suite E15, Hermiston, OR 97838 | 2016-08-26 |
| 1013362649 | Bianka Nydia Munoz | Chiropractor | 215 Sw 3rd St, Ste B and C, Hermiston, OR 97838 | 2016-05-02 |
| 1801280896 | Sarah Harris | Counselor | 595 N.w. 11th Street, Hermiston, OR 97838 | 2015-03-27 |
| 1447677612 | Darren M Ernst | Nurse Anesthetist, Certified Registered | 610 Nw 11th St., Hermiston, OR 97838 | 2014-03-25 |
| 1558704460 | Torrie A Griggs | Specialist | 225 N 1st Street, Hermiston, OR 97838 | 2013-04-10 |
| 1356691869 | Carol Louise Johnson | Counselor | 331 Southeast 2nd Street, Pendleton, OR 97838 | 2012-09-12 |
| 1568717817 | Devin L Christensen | Massage Therapist | 1155 W. Linda Ave., Ste. B, Hermiston, OR 97838 | 2012-07-23 |
| 1275895310 | Lina Isabel Castillo | Pediatrics | 600 Nw11th Street, Suite E33, Hermiston, OR 97838 | 2012-06-14 |
| Find all providers in zip 97838 | ||||
| Taxonomy Code | 111NI0900X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Internist |
| The chiropractic internist may serve as a primary care physician or may see patients referred from other providers for evaluation and co-management. Evaluation is focused on the early detection of functional, nutritional, and pathological disorders. A chiropractic internist utilizes the diagnostic instruments necessary for proper examination. In cases where laboratory examination is necessary, a chiropractic internist utilizes a recognized reference laboratory facility. A chiropractic internist may manage his or her own cases or may refer to another specialist when prudent to do so. The chiropractic internist utilizes documented natural therapies, therapeutic lifestyle changes, patient education and other resources to promote patient health and avoidance of disease. |
| Notes: Source: American Chiropractic Association, 2008 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609007350 | Lynn Hakala | Chiropractor | 12019 Se Powell Blvd, Portland, OR 97266-1639 | 2009-07-29 |
| 1881898260 | Scott Stewart Northrup | Chiropractor | 430 Fern Ave, Brookings, OR 97415 | 2007-06-12 |
| 1992865547 | Mark B Thomas Dc PC | Chiropractor | 500 E Whiteaker Ave, Cottage Grove, OR 97424-1648 | 2006-12-12 |
| 1659439636 | Jerry Evans | Chiropractor | 190 E 18th Ave, Eugene, OR 97401-4160 | 2006-12-04 |
| 1770659344 | Usha Honeyman | Chiropractor | 1368 Nw Lincoln Ave, Corvallis, OR 97330-2650 | 2006-11-27 |
| 1700960085 | Thomas R Gilliland | Chiropractor | 337 Union Ave Ste B, Grants Pass, OR 97527-5574 | 2006-10-24 |
| 1083956536 | Michael Owen | Chiropractor | 3857 Sw Hall Blvd, Beaverton, OR 97005-2049 | 2013-03-22 |
| 1043362601 | Mark B Thomas | Chiropractor | 500 E Whiteaker Ave, Cottage Grove, OR 97424-1648 | 2007-01-16 |
| 1104975721 | Carol Ann Cooper | Chiropractor | 4131 River Rd N, Keizer, OR 97303-5559 | 2007-01-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.