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

Peter Bodmer

Individual provider Physician Assistant · NPI 1639570120

Peter Bodmer is a Physician Assistant in Salem, Oregon. Qualified in 2015, 11 years ago. Practices with Yakima Valley Farm Workers Clinic, a 276-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
11
Licensed in
OR
In the registry since
2014
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Practice location Address checks out

255 Lancaster Dr NE
Salem, OR 97301-5155
Phone: (503) 576-8400
Fax: (503) 364-0775
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA174107 (OR)

Record details

NPI number1639570120
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 16, 2014
Last updated in NPPESMarch 3, 2021
Certification dateMarch 3, 2021
Mailing address255 Lancaster Dr Ne, Salem, OR 97301-5155

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Yakima Valley Farm Workers Clinic — 276 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Salem