Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blair Peters

Individual provider Plastic Surgery Physician · NPI 1871147876

Blair Peters is a Plastic and Reconstructive Surgery in Portland, Oregon. Qualified in 2014, 12 years ago. Practices with University Professional Services, a 1,704-clinician group and accepts Medicare assignment. Licensed in Missouri and Oregon.

Years since qualifying
12
Licensed in
MO, OR
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

3181 SW Sam Jackson Park Rd # L352A
Portland, OR 97239-3011
Phone: (503) 494-7824
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 2019011349 (MO)
Plastic and Reconstructive Surgery Physician Taxonomy 2086S0122X · Licence 197514 (OR)

Record details

NPI number1871147876
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 29, 2019
Last updated in NPPESApril 28, 2021
Certification dateApril 28, 2021
Mailing address3181 Sw Sam Jackson Park Rd # L352a, Portland, OR 97239-3011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice University Professional Services — 1704 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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