MATTHEW PETERSON (D.C.) – Chiropractor, NPI 1366982985

MATTHEW PETERSON (D.C.) is a healthcare provider. based in Tigard, Oregon. specializing in Chiropractor. They hold the professional credentials D.C.. They hold a License No. 5805 (OR). The NPI Number for MATTHEW PETERSON (D.C.) is 1366982985

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW PETERSON (D.C.)
NPI
1366982985
Phone
(503) 639-0778
Address
11565 SW DURHAM RD
Enumeration Date
1 March 2017
Last Update Date
1 March 2017

Doctor Profile

Medical School Name
WESTERN STATES COLLEGE OF CHIROPRACTIC
Secondary Phone
5036390778
Graduation Year
2016 (10 years ago)
PAC ID
8224462122
Group Practice PAC ID
4789572413
Professional Enrollment ID
I20200107003552
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

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Provider Addresses for MATTHEW PETERSON (D.C.)

  • 11565, Southwest Durham Road, Cook Park, Southview, Tigard, Metro, Washington County, Oregon, 97224, United States

    TIGARD, OR 972243553

    Phone: (503) 639-0778

    Fax: (503) 639-0815

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97224)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4789572413View full group profile
NameSpecialtyState
C H I R O P R A C T I COR
C H I R O P R A C T I COR
C H I R O P R A C T I COR

Reviews

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Frequently asked questions

How do payers reference MATTHEW PETERSON (D.C.)?
For MATTHEW PETERSON (D.C.), use NPI 1366982985 as the unique 10-digit identifier.
Would MATTHEW PETERSON (D.C.) appear as active to a payer?
You can treat MATTHEW PETERSON (D.C.) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is MATTHEW PETERSON (D.C.)?
MATTHEW PETERSON (D.C.) is associated with Chiropractor in the directory — Clinical services aligned with this taxonomy classification.
Where in Oregon is MATTHEW PETERSON (D.C.) registered?
Use Tigard, Oregon as the headline location for MATTHEW PETERSON (D.C.) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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