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

Blake Peterson, DPM

Individual provider Podiatrist · NPI 1689027054

Blake Peterson, DPM is a Podiatry in Newport, Oregon. Qualified in 2016, 10 years ago. Practices with Samaritan Pacific Health Services Inc, a 90-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona, Oregon and Texas.

Years since qualifying
10
Licensed in
AZ, OR, TX
In the registry since
2016
Specialties on file
3
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

See every abbreviation used in this directory →

Practice location Address checks out

930 SW Abbey St Ste A
Newport, OR 97365-4820
Phone: (541) 265-8816
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 930 Sw Abbey St Ste B, Newport, OR 97365-4820 — (541) 574-7235
  • 8130 Hawthorn, Temple, TX 76502 — (480) 338-8552

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence DP207320 (OR)
Podiatrist Taxonomy 213E00000X · Licence T60-2016 (TX)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence 000930 (AZ)

Record details

NPI number1689027054
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedJuly 20, 2016
Last updated in NPPESJanuary 2, 2026
Certification dateJanuary 2, 2026
Mailing addressPo Box 2847, Corvallis, OR 97339-2847

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Samaritan Pacific Health Services Inc — 90 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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