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

Dr. Samuel Nolan Peterson, AUD

Individual provider Audiologist · NPI 1720332968

Dr. Samuel Nolan Peterson, AUD is a Qualified Audiologist in Grants Pass, Oregon. Qualified in 2012, 14 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
14
Licensed in
OR
In the registry since
2012
What do these letters mean?
AUD — Doctor of Audiology
A hearing specialist who tests hearing and fits hearing aids.

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Practice location Address checks out

1867 Williams Hwy Ste 105
Grants Pass, OR 97527-5854
Phone: (541) 474-4694
Fax: (541) 474-9590
Show map & directions

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

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X · Licence 23642 (OR)

Record details

NPI number1720332968
Entity typeIndividual (Type 1)
GenderMale
Credentials AUD
Sole proprietorNo
NPI enumeratedNovember 8, 2012
Last updated in NPPESNovember 8, 2012

Medicare enrollment

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

Medicare specialtyQUALIFIED AUDIOLOGIST
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Grants Pass