Blair Peters
Surgery, Plastic and Reconstructive Surgery in Portland, OR. Individual provider (NPI-1).
NPI number1871147876
StatusActive
Last updated in NPPESOct 15, 2026
Details
- NPI
- 1871147876
- Entity type
- Individual (NPI-1)
- Name
- Blair Peters
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 29, 2019
- Certification date
- Oct 15, 2026
- Last updated
- Oct 15, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PLASTIC AND RECONSTRUCTIVE SURGERY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0122X | Surgery, Plastic and Reconstructive Surgery | MD197514 | OR | Yes |
| 208200000X | Plastic Surgery | MD197514 | OR | |
| 208200000X | Plastic Surgery | 2019011349 | MO |
Practice location
3181 Sw Sam Jackson Park RdPortland, OR 97239-3011
Phone 503-494-7824
Mailing address
1400 Sw 5th Ave Ste 500Portland, OR 97201-5537
Other practice locations
3303 S Bond Ave
Portland, OR 97239-4501
Portland, OR 97239-4501
Phone 503-494-6687
335 Se 8th Ave
Hillsboro, OR 97123-4246
Hillsboro, OR 97123-4246
Phone 503-681-1270
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Other Plastic and Reconstructive Surgery Physician providers in Portland, OR
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- Christine Shyh Wang Best, MDNPI 1417515875
- Richard C Busby, MDNPI 1720049299
- Sheldon R Cober, MDNPI 1649353525
- Aaron Gilson, D.O.NPI 1720428386
- Gilson Plastic Surgery LLCNPI 1124715032
- Marcus W Melvin, M.D.NPI 1346266368
- Rachel E Streu, M.DNPI 1396867719
All 12 Plastic and Reconstructive Surgery Physician providers in Portland · All 48,847 providers in Portland
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