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Deactivated NPI 1790881050 Deactivated / Inactive NPI Male Practitioner

Dr. Peter L. Redburn , DC

Chiropractor • Anacortes, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Peter Redburn has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 15, 2006
NPI Deactivation Date May 07, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Peter Redburn, DC was a registered Chiropractor practicing in Anacortes, WA. Throughout an active medical career spanning 20 years, Dr. Redburn provided care at the practice location at 1101 8TH ST until profile deactivation on 2026-05-07.

Historical Medicare Part B clinical services included chiropractic manipulative treatment, 1-2 spinal regions. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1101 8th St
Suite B

Anacortes, WA 982211800

Telephone 3609822881
Fax 3608995846
Associated Practice Facility / Clinic
🏢 Sally Jane Ps Facility NPI 1235353897

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Anacortes, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 30.4 Yrs
State Avg: 23.7 Yrs
Regional Practice Density
13 Specialists

Practicing in Anacortes, WA (3154 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
14.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98940 Chiropractic manipulative treatment, 1-2 spinal regions
93 39 $31.57 $27.11

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License WA CH00002243

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1801974092

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 07, 2026

Record deactivated on May 07, 2026

NPI Profile Active April 02, 2012

NPI status registered as active in NPPES database

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Updated Practice Location April 02, 2012

Registered at 1101 8TH ST, SUITE B, ANACORTES, WA 982211800 (Tel: 3609822881)

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Updated Business Mailing Address April 02, 2012

Registered at 1101 8TH ST, SUITE B, ANACORTES, WA 982211800 (Tel: 3609822881)

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Provider Name / Credentials Updated April 02, 2012

Recorded as PETER REDBURN, D.C.

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 02, 2012

Chiropractor (License #CH00002243 in WA)

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Initial NPI Registration & Enumeration September 15, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790881050
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 15, 2006
Last Update: April 02, 2012
Deactivation Date: May 07, 2026

Mailing Address

1101 8th St, Suite B

Anacortes, WA 982211800

Phone: 3609822881

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.