- Practice location
- 3159 NW Craftsman Dr, Bend, OR 97703-5517
- Phone
- 720-743-2255
- Fax
- 720-743-2155
- Last updated
- April 30, 2026
Peter Bordelon is a Nurse Practitioner, Psych/Mental Health based in Bend, OR. Peter Bordelon practices in Bend, OR and has the professional credentials of PMHNP. The NPI Number for Peter Bordelon is 1427306232 and holds a License No. R189202 (MD). The current practice location address for Peter Bordelon is 3159 NW Craftsman Dr, Bend, OR 97703-5517 and can be reached out via phone at 720-743-2255 and via fax at 720-743-2155.
Provider Profile Details
- NPI Number
- 1427306232
- Provider Name
- Peter Bordelon
- Credential
- PMHNP
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 3159 NW Craftsman Dr, Bend, OR 97703-5517
- Phone Number
- 720-743-2255
- Fax Number
- 720-743-2155
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 28, 2012
- Last Update Date
- April 30, 2026
- Certification Date
- April 30, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3159 NW Craftsman Dr
Bend, OR 97703-5517 - City
- Bend
- State
- Oregon
- Zip
- 97703-5517
- Phone Number
- 720-743-2255
- Fax Number
- 720-743-2155
Provider Business Mailing Address Details
- Address
- 3159 NW Craftsman Dr
Bend, OR 97703-5517 - City
- Bend
- State
- OR
- Zip
- 97703-5517
- Phone Number
- 720-249-5211
- Fax Number
- 720-743-2155
License Information
- License Number (1)
- R189202
- License State (1)
- MD
- Taxonomy (1)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- License Number (2)
- APN.0996417-NP
- License State (2)
- CO
- Taxonomy (2)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- License Number (3)
- 10005773
- License State (3)
- OR
- Taxonomy (3)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Peter Bordelon, PMHNP?
The NPI number of Peter Bordelon, PMHNP is 1427306232. It was assigned on August 28, 2012 and is currently active in the NPPES registry.
What is the specialty of Peter Bordelon, PMHNP?
Peter Bordelon, PMHNP is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in MD under license number R189202.
Where does Peter Bordelon, PMHNP practice?
The practice location is 3159 NW Craftsman Dr, Bend, OR 97703-5517. The office can be reached at 720-743-2255 (phone) or 720-743-2155 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1427306232 directly on the NPPES registry website.