GARY PETERSON (CADC 2) – Addiction (Substance Use Disorder) Counselor, NPI 1114384039

Addiction (Substance Use Disorder) Counselor

GARY PETERSON (CADC 2) is a healthcare provider. based in White city, Oregon. specializing in Addiction (Substance Use Disorder) Counselor. They hold the professional credentials CADC 2. The NPI Number for GARY PETERSON (CADC 2) is 1114384039

Main info

Male

Name

GARY PETERSON (CADC 2)

NPI

1114384039

Phone

(541) 826-2111

Address

8495 CRATER LAKE HWY

Enumeration Date

22 January 2016

Last Update Date

22 January 2016

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience25

Completeness75

Years active:10State licenses:0Digital endpointsOther names

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Provider Addresses for GARY PETERSON (CADC 2)

White City VA Rehabilitation Center & Clinics, 8495, Crater Lake Highway, White City, Jackson County, Oregon, 97503, United States
WHITE CITY, OR 975033011
Phone: (541) 826-2111
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)

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Medicare Enrollment & Revalidation

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

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Medicare Utilization (FFS)

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

Insurance plans in this area (ZIP 97503)

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Frequently asked questions

What number should I use to identify GARY PETERSON (CADC 2) for billing?

Administrative and clinical systems typically use NPI 1114384039 for GARY PETERSON (CADC 2).

Should I treat GARY PETERSON (CADC 2) as an active provider?

Patients and plans typically see GARY PETERSON (CADC 2) as active in the national extract.

What services align with GARY PETERSON (CADC 2)'s listing?

GARY PETERSON (CADC 2)'s public classification highlights Addiction (Substance Use Disorder) Counselor. Clinical services aligned with this taxonomy classification.

Is GARY PETERSON (CADC 2) tied to White City, Oregon?

If you are local to White City, Oregon, GARY PETERSON (CADC 2) may be relevant to your search.

Can I export GARY PETERSON (CADC 2)'s record?

You can download the official NPPES record; we summarize key fields for readability.