Provider Demographics
NPI:1205225018
Name:PEYTON, MEREDITH (NMD)
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:
Last Name:PEYTON
Suffix:
Gender:F
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1657 SONYA DR SE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97317-8912
Mailing Address - Country:US
Mailing Address - Phone:530-653-8113
Mailing Address - Fax:530-653-8002
Practice Address - Street 1:1657 SONYA DR SE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97317-8912
Practice Address - Country:US
Practice Address - Phone:530-653-8113
Practice Address - Fax:530-653-8002
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-16
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND1089175F00000X
MN1062175F00000X
OR4323175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath