Peter Van
Occupational Therapist in Portland, OR. Individual provider (NPI-1).
NPI number1982434551
StatusActive
Last updated in NPPESApr 21, 2026
Details
- NPI
- 1982434551
- Entity type
- Individual (NPI-1)
- Name
- Peter Van
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 7, 2024
- Certification date
- Apr 21, 2026
- Last updated
- Apr 21, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- 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 |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 533158 | OR | Yes |
Practice location
10123 Se Market StPortland, OR 97216-2532
Phone 503-257-2500
Mailing address
1481 Nw 13th Ave Apt 112Portland, OR 97209-3405
Phone 303-618-0306
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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