Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacob Duane Peters, PA-C

Individual provider Family Medicine Physician · NPI 1164936985

Jacob Duane Peters, PA-C is a Physician Assistant in Beaverton, Oregon. Qualified in 2017, 9 years ago. Practices with Virginia Garcia Memorial Health Center, a 88-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
9
Licensed in
OR
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2725 SW Cedar Hills Blvd Ste 2A
Beaverton, OR 97005-1344
Phone: (503) 352-6000
Fax: (503) 434-8597
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence PA185067 (OR)

Record details

NPI number1164936985
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 1, 2017
Last updated in NPPESFebruary 11, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Virginia Garcia Memorial Health Center — 88 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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