Individual provider · Type 1 NPI

Michael Patrick Petersen

Mental Health Counselor · Wood Village, OR

NPI number 1447148275 Active

Practice location

23500 NE Halsey St
Wood Village, OR 97060-2815

Call (503) 512-7503 Map

Mailing address

PO Box 8459
Portland, OR 97207-8459

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1447148275

Michael Patrick Petersen's National Provider Identifier is 1447148275, issued on Jun 27, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Wood Village, OR. The record was last updated on Jun 27, 2025.