Healthcare Provider Details

I. General information

NPI: 1508181355
Provider Name (Legal Business Name): PETER ALAN KARTH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2010
Last Update Date: 06/30/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1860 VIRGINIA AVE STE 10
NORTH BEND OR
97459-2355
US

IV. Provider business mailing address

PO BOX 5276
EUGENE OR
97405-0276
US

V. Phone/Fax

Practice location:
  • Phone: 541-873-8462
  • Fax:
Mailing address:
  • Phone: 650-492-3389
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207WX0107X
TaxonomyRetina Specialist (Ophthalmology) Physician
License NumberMD175918
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: