# DR TIMOTHY PETERS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Nw family mediine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154510998
- **Authorized official:** DR. TIMOTHY ROY PETERS MD (OWNER)
- **Authorized official phone:** (503) 873-6987

## Contact information

- **Practice address:** 605 WELCH ST, SILVERTON, OR 97381-1946
- **Practice address phone:** (503) 873-6987
- **Practice address fax:** (503) 873-8923
- **Mailing address:** 605 WELCH ST, SILVERTON, OR 97381-1946
- **Mailing address phone:** (503) 873-6987
- **Mailing address fax:** (503) 873-8923

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 173000000X | Legal Medicine | MD17287 | OR | Yes |
| 302R00000X | Health Maintenance Organization | MD17287 | OR | — |

## Other

- **Enumeration date:** 10/17/2007
- **Last updated:** 10/17/2007