Individual provider · Type 1 NPI

Nathaniel Selland Peterson

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1497037527 Active

Practice location

537 SE Alder St
Portland, OR 97214-2231

Call (503) 230-9654 Map

Fax (503) 239-5953

Mailing address

PO Box 8459
Portland, OR 97207-8459

Specialties and licenses

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

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1497037527

Nathaniel Selland Peterson's National Provider Identifier is 1497037527, issued on Sep 14, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portland, OR. The record was last updated on Oct 26, 2018.