Individual provider · Type 1 NPI

Glenda A. Peterson, PMHN

Psychiatric/Mental Health Nurse Practitioner · Beaverton, OR

NPI number 1871516773 Active

Practice location

16110 SW Regatta Ln
Beaverton, OR 97006-8942

Fax (503) 617-9379

Mailing address

PO Box 42510
Portland, OR 97242-0510

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X079039861N6 (OR)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1871516773

Glenda A. Peterson, PMHN's National Provider Identifier is 1871516773, issued on Jul 25, 2006. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Beaverton, OR. The record was last updated on Jul 8, 2007.