IndividualActive
Gary Peterson, CADC 2
NPI 1114384039 · Addiction (Substance Use Disorder) Counselor · White City, OR
Provider details
- NPI number
- 1114384039
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- CADC 2
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
8495 Crater Lake Hwy
White City, OR 97503-3011
Phone: (541) 826-2111
Approximate (ZIP-level) locationGet directions
Mailing address
8495 Crater Lake Hwy
White City, OR 97503-3011
Registry dates
- Enumerated
- 2016-01-22
- Last updated
- 2016-01-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.