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

Dr. Nicholas Peck, DC

Individual provider Chiropractor · NPI 1619797495

Dr. Nicholas Peck, DC is a Chiropractic in Tualatin, Oregon. Graduated from Western States College of Chiropractic in 2024, 2 years ago. Practices with Active Life Chiropractic and Rehab LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
2
Trained at
Western States College of Chiropractic
Licensed in
OR
In the registry since
2024
Specialties on file
2
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

8365 SW Warm Springs St
Tualatin, OR 97062-9003
Phone: (503) 855-3375
Fax: (503) 855-3043
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Physician Chiropractor (primary) Taxonomy 111NS0005X · Licence 6411 (OR)
Chiropractor Taxonomy 111N00000X · Licence 6411 (OR)

Record details

NPI number1619797495
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedOctober 15, 2024
Last updated in NPPESOctober 15, 2024
Certification dateOctober 15, 2024
Mailing address8365 Sw Warm Springs St, Tualatin, OR 97062-9003

Medicare enrollment

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

Medicare specialtyCHIROPRACTIC
Medical schoolWESTERN STATES COLLEGE OF CHIROPRACTIC
Graduated 2024 (2 years in practice)
Group practice Active Life Chiropractic And Rehab Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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