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

Grant Ian Peterson

Individual provider Adult Companion · NPI 1134482904

Grant Ian Peterson is an Adult Companion in Oregon City, Oregon. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

304 Pearl St
Oregon City, OR 97045-2684
Phone: (503) 238-0769
Show map & directions

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

Specialties & licences

Adult Companion (primary) Taxonomy 372600000X

Record details

NPI number1134482904
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 18, 2012
Last updated in NPPESJune 18, 2012

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