Individual provider · Type 1 NPI

Todd Bradley Petrie

Peer Specialist · Portland, OR

NPI number 1285124545 Active

Practice location

7916 SE Foster Rd Ste 201
Portland, OR 97206-4289

Call (503) 374-3730 Map

Mailing address

PO Box 16756
Portland, OR 97292-0756

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X17-CRM-013 (OR)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1285124545

Todd Bradley Petrie's National Provider Identifier is 1285124545, issued on May 12, 2018. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Portland, OR. The record was last updated on May 12, 2018.