Individual provider · Type 1 NPI
Jenny Lynn Peterson, RN
Psychiatric/Mental Health Registered Nurse · Portland, OR
NPI number
1467599761
Active
Practice location
13317 SE Powell Blvd
Portland, OR 97236-3335
Fax (503) 760-9609
Mailing address
313 SE 86th Ave
Portland, OR 97216-1044
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 200141254RN (OR) |
| Case Manager/Care Coordinator | 171M00000X | None listed |
Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1467599761
Jenny Lynn Peterson, RN's National Provider Identifier is 1467599761, issued on Jan 30, 2007. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Portland, OR. The record was last updated on Aug 3, 2016.