person
Todd Bradley Petrie
Peer Specialist in Portland, Oregon
NPI 1285124545

Todd Bradley Petrie is a Peer Specialist based in Portland, OR. Todd Bradley Petrie practices in Portland, OR. The NPI Number for Todd Bradley Petrie is 1285124545 and holds a License No. 17-CRM-013 (Oregon).

The current practice location address for Todd Bradley Petrie is 7916 Se Foster Rd Ste 201, Portland, OR and can be reached out via phone at 503-374-3730.

Location: 7916 Se Foster Rd Ste 201, Portland, OR, 97292-0756
person
Provider Profile Details
NPI Number
1285124545
Provider Name
Todd Bradley Petrie
Credential
Provider Entity Type
Individual
Gender
Male
Address
7916 Se Foster Rd Ste 201, Portland, OR, 97292-0756
Phone Number
503-374-3730
Fax Number
Provider Enumeration Date
05/12/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7916 Se Foster Rd Ste 201
City
State
Zip
97206-4289
Phone Number
503-374-3730
Fax Number
person
Provider Business Mailing Address Details
Address
7916 Se Foster Rd Ste 201
City
State
Zip
97206-4289
Phone Number
503-374-3730
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
17-CRM-013 (Oregon)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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