Organization · Type 2 NPI

Kylee M Peterson LLC

Community/Behavioral Health Agency · Beaverton, OR

NPI number 1710897715 Active

Practice location

12785 SW Percheron Ln
Beaverton, OR 97008-8123

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1710897715

Kylee M Peterson LLC's National Provider Identifier is 1710897715, issued on Sep 10, 2026. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Beaverton, OR. The record was last updated on Sep 10, 2026.