Individual provider · Type 1 NPI

Petronela Petra

Mental Health Counselor · Portland, OR

NPI number 1598242521 Active

Practice location

15208 SE Tibbetts St
Portland, OR 97236-2356

Call (503) 760-0959 Map

Fax (503) 761-0041

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1598242521

Petronela Petra's National Provider Identifier is 1598242521, issued on Jul 23, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jul 23, 2018.