person
Glenda A Peterson, PMHN
Psychiatric/Mental Health Nurse Practitioner in Beaverton, Oregon
NPI 1871516773

Glenda A Peterson is a Psychiatric/Mental Health Nurse Practitioner based in Portland, OR and is specialized in Psychiatric/Mental Health. Glenda A Peterson practices in Beaverton, OR and has the professional credentials of PMHN. The NPI Number for Glenda A Peterson is 1871516773 and holds a License No. 079039861N6 (Oregon).

The current practice location address for Glenda A Peterson is 16110 Sw Regatta Ln, Beaverton, OR and can be reached out via phone at 503-629-2131 and via fax at 503-617-9379.

Location: 16110 Sw Regatta Ln, Beaverton, OR, 97242-0510
person
Provider Profile Details
NPI Number
1871516773
Provider Name
Glenda A Peterson
Credential
PMHN
Provider Entity Type
Individual
Gender
Female
Address
16110 Sw Regatta Ln, Beaverton, OR, 97242-0510
Phone Number
503-629-2131
Fax Number
503-617-9379
Provider Enumeration Date
07/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
115218 01 MANAGED HEALTH
institution
Provider Business Practice Location Address Details
Address
16110 Sw Regatta Ln
City
State
Zip
97006-8942
Phone Number
503-629-2131
Fax Number
503-617-9379
person
Provider Business Mailing Address Details
Address
16110 Sw Regatta Ln
City
State
Zip
97006-8942
Phone Number
503-629-2131
Fax Number
503-617-9379
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
079039861N6 (Oregon)
Definition
Definition to come...
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