BLAKE PETERSON DPM NPI 1689027054

NPI Information

  • NPI: 1689027054
  • Provider Name: BLAKE PETERSON, DPM
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 930 SW ABBEY ST STE B
    NEWPORT, OR
    ZIP 97365
  • Phone: (541) 574-7235

Map and Directions

Get Directions

NPI Details

Blake Peterson, DPM is a foot and ankle surgery podiatrist in Newport, OR with 9 years of experience. Blake Peterson, DPM NPI is 1689027054. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

930 SW ABBEY ST STE B
NEWPORT, OR
ZIP 97365-820
Phone: (541) 574-7235

The NPI 1689027054 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 7/20/2016 and was last updated on 11/17/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle Surgery000930ARIZONANo
2213E00000XPodiatristT60-2016TEXASNo
3213ES0103XPodiatristFoot & Ankle SurgeryDP207320OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI