Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BLAKE PETERSON, DPM
ActiveBLAKE PETERSON, DPM is a Foot & Ankle Surgery Podiatrist healthcare provider located in NEWPORT, Oregon. NPI 1689027054 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery Podiatrist · NEWPORT, OR
Registration Details
- NPI Number
- 1689027054
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 20, 2016 (10.107971661435 yrs)
- Last Updated
- Jan 2, 2026
- Licenses
-
T60-2016 (TX)DP207320 (OR)000930 (AZ)
Practice Information
- Address
-
930 SW ABBEY ST STE ANEWPORT, OR, 973654820Browse OR providers · Browse ZIP 97365
- Phone
- 5412658816
- Primary Specialty
-
Foot & Ankle Surgery Podiatrist
213ES0103X
- Additional Specialty
- Foot & Ankle Surgery Podiatrist
- Additional Specialty
- Foot & Ankle Surgery Podiatrist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.