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GARY PETERSON CADC 2
NPI 1114384039
Counselor - Addiction (Substance Use Disorder) in White City, OR

Active since January 22, 2016
8495 CRATER LAKE HWY, WHITE CITY, OR 97503(541) 826-2111 Get Directions Write a Review

NPPES record last updated: January 22, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gary Peterson Cadc 2 NPPES

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

GARY PETERSON CADC 2 (NPI 1114384039) is an individual addiction (substance use disorder) provider in White City, Oregon and active in the NPI registry since January 2016.

NPPES Registry Identity

NPI1114384039
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameGARY PETERSONCredential: CADC 2
Location Address8495 CRATER LAKE HWYWhite City, OR 97503-3011
Mailing Address8495 Crater Lake HwyWhite City, OR 97503-3011 · (541) 826-2111
Phone(541) 826-2111
Sole ProprietorNo
Enumeration DateJanuary 22, 2016
✔ NPI 1114384039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
8495 CRATER LAKE HWY, White City, OR 97503
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Other Providers at the Same Location NPPES 20

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

ADRIAN ANTHONY GARIBAY
Registered Nurse
8495 CRATER LAKE HWY
WHITE CITY, OR 97503
Jackson County (541) 826-2111
KANDICE DRAAYER RN
Registered Nurse (Psychiatric/Mental Health, Adult)
8495 CRATER LAKE HWY
WHITE CITY, OR 97503
Jackson County (541) 826-2111
WHITE CITY VAMC
General Acute Care Hospital
8495 CRATER LAKE HWY, VA SORCC
WHITE CITY, OR 97503
Jackson County (702) 341-3164
MR. KEVIN LEONARD WILLIAMS MSW, LCSW
Social Worker (Clinical)
8495 CRATER LAKE HWY
WHITE CITY, OR 97503
Jackson County (541) 826-2111
DR. ERIC GUSTAFSON PHARM.D.
Pharmacist
8495 CRATER LAKE HWY
WHITE CITY, OR 97503
Jackson County (541) 826-2111
LYN WAYNE SHEPERD
Registered Nurse
8495 CRATER LAKE HWY
WHITE CITY, OR 97503
Jackson County (541) 826-2111
JEAN EILEEN MOUNT
Nurse Practitioner (Adult Health)
8495 CRATER LAKE HWY
WHITE CITY, OR 97503
Jackson County (541) 826-2111
MR. MICHAEL JOHN OMALLEY M.S., LPC, LMHC
Counselor (Mental Health)
8495 CRATER LAKE HWY
WHITE CITY, OR 97503
Jackson County (541) 826-2111

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 Gary Peterson's NPI number?

The NPI number for Gary Peterson is 1114384039. It was assigned to this individual provider in the NPPES registry on January 22, 2016.

Where is Gary Peterson located?

Gary Peterson practices at 8495 Crater Lake Hwy, White City, OR 97503. The listed phone number is (541) 826-2111.

What is Gary Peterson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Gary Peterson was last updated on January 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.