Individual
PETER WILLIAM ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC, PA-C
Contact information
Practice address
3025 RYAN DR SE, SALEM, OR 97301-5057
(503) 540-9999
(503) 540-3105
Mailing address
723 NE EVANS ST, MCMINNVILLE, OR 97128-3925
(503) 434-9002
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2958
OR
363AM0700X
Medical Physician Assistant
Primary
197354
OR
Other
Enumeration date
08/25/2006
Last updated
02/20/2024
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