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JON PETERS MD
NPI 1083621312
Family Medicine in Clackamas, OR

Active since August 01, 2006
10151 SE SUNNYSIDE RD STE 100, CLACKAMAS, OR 97015(503) 659-0880(503) 513-7425 Get Directions Write a Review

NPPES record last updated: May 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jon Peters Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JON PETERS MD (NPI 1083621312) is an individual family medicine provider in Clackamas, Oregon, licensed in Oregon (MD18051) and active in the NPI registry since August 2006. He maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1083621312
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJON PETERSCredential: MD
Location Address10151 SE SUNNYSIDE RD STE 100Clackamas, OR 97015-5705
Mailing Address10151 Se Sunnyside Rd Ste 100Clackamas, OR 97015-5705 · (503) 659-0880
Phone(503) 659-0880
Fax(503) 513-7425
Sole ProprietorNo
Enumeration DateAugust 1, 2006
Last NPPES UpdateMay 11, 2021
NPPES CertifiedMay 11, 2021
✔ NPI 1083621312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OR · MD18051
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
10151 SE SUNNYSIDE RD STE 100, Clackamas, OR 97015
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Secondary Practice Location 1

Location 12647 NE 33rd AvePortland, OR 97212-3647 · Phone (503) 288-0083 · Fax (503) 288-7843

Other Identifiers 4

Other080061183OR · Railroad Medicare Pin
Medicaid8125841WA
Medicaid050471OR
Other048194004OR · Blue Cross Blue Shield

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHELSEA LYNN JORDAN RD, CDCES
Dietitian, Registered (Nutrition, Obesity and Weight Management)
10151 SE SUNNYSIDE RD STE 100
CLACKAMAS, OR 97015
Clackamas County (503) 659-0880
DR. SHUOWEN CHEN MD
Family Medicine
10151 SE SUNNYSIDE RD STE 100
CLACKAMAS, OR 97015
Clackamas County (503) 659-0880
EMILY VANESSA CHESLIK RD
Dietitian, Registered
10151 SE SUNNYSIDE RD STE 100
CLACKAMAS, OR 97015
Clackamas County (503) 261-6912
DR. ANDREW JOSEPH BITNEY DO
Family Medicine
10151 SE SUNNYSIDE RD STE 100
CLACKAMAS, OR 97015
Clackamas County (503) 659-0880
KATHARINE M MASON-ELLIS PA-C
Physician Assistant
10151 SE SUNNYSIDE RD STE 100
CLACKAMAS, OR 97015
Clackamas County (503) 659-0880
LIN JUAN LI PA-C
Physician Assistant
10151 SE SUNNYSIDE RD STE 100
CLACKAMAS, OR 97015
Clackamas County (503) 659-0880
ELSBETH CANDICE LO MD
Family Medicine
10151 SE SUNNYSIDE RD STE 100
CLACKAMAS, OR 97015
Clackamas County (503) 659-0880
COLLEEN FREEMAN LCSW
Social Worker (Clinical)
10151 SE SUNNYSIDE RD STE 100
CLACKAMAS, OR 97015
Clackamas County (503) 659-0880

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jon Peters's NPI number?

The NPI number for Jon Peters is 1083621312. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Jon Peters located?

Jon Peters practices at 10151 SE Sunnyside Rd Ste 100, Clackamas, OR 97015. The listed phone number is (503) 659-0880.

What is Jon Peters's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Jon Peters was last updated on May 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.