IndividualActive
Callie Peters, PA-C
NPI 1699373530 · Surgical Physician Assistant · Portland, OR
Provider details
- NPI number
- 1699373530
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- PA201744 (OR)
Practice location
3181 Sw Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-4314
Fax: (503) 346-6810
Mailing address
1400 Sw 5th Ave Ste 500
Portland, OR 97201-5537
Registry dates
- Enumerated
- 2020-10-13
- Last updated
- 2024-12-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.