Individual provider · Type 1 NPI
Pegah Bakhtiyari
Mental Health Counselor · Wilderville, OR
NPI number
1275239154
Active
Practice location
13180 Redwood Hwy
Wilderville, OR 97543-9092
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | R12322 (OR) |
Mental Health Counselor: Definition to come...
About NPI 1275239154
Pegah Bakhtiyari's National Provider Identifier is 1275239154, issued on Feb 2, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Wilderville, OR. The record was last updated on Nov 14, 2025.