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

Individual provider Physician Assistant · NPI 1538674924

Samantha Viola Dougherty Peters, PA-C is a Physician Assistant in Klamath Falls, Oregon. Qualified in 2017, 9 years ago. Practices with Sky Lakes Medical Center Inc, a 197-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

2821 Daggett Ave Ste 200
Klamath Falls, OR 97601-1130
Phone: (541) 274-8400
Fax: (541) 274-8405
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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 PA182657 (OR)

Record details

NPI number1538674924
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 6, 2017
Last updated in NPPESNovember 16, 2022
Certification dateNovember 16, 2022

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 Sky Lakes Medical Center Inc — 197 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Klamath Falls