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Sally Rothacker Peyton, APRNCS,PMH-NP
Psychiatric/Mental Health Nurse Practitioner in Portland, Oregon
NPI 1952386732

Sally Rothacker Peyton is a Psychiatric/Mental Health Nurse Practitioner based in Portland, OR and is specialized in Psychiatric/Mental Health. Sally Rothacker Peyton practices in Portland, OR and has the professional credentials of APRNCS,PMH-NP. The NPI Number for Sally Rothacker Peyton is 1952386732 and holds a License No. R042060 (Oregon).

The current practice location address for Sally Rothacker Peyton is 619 Nw 6Th Ave Fl 3, Portland, OR and can be reached out via phone at 503-988-3663 and via fax at 503-988-4098.

Location: 619 Nw 6Th Ave Fl 3, Portland, OR, 97209-3964
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Provider Profile Details
NPI Number
1952386732
Provider Name
Sally Rothacker Peyton
Credential
APRNCS,PMH-NP
Provider Entity Type
Individual
Gender
Female
Address
619 Nw 6Th Ave Fl 3, Portland, OR, 97209-3964
Phone Number
503-988-3663
Fax Number
503-988-4098
Provider Enumeration Date
12/14/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
123350000 05 ME
institution
Provider Business Practice Location Address Details
Address
619 Nw 6Th Ave Fl 3
City
State
Zip
97209-3964
Phone Number
503-988-3663
Fax Number
503-988-4098
person
Provider Business Mailing Address Details
Address
619 Nw 6Th Ave Fl 3
City
State
Zip
97209-3964
Phone Number
503-988-3663
Fax Number
503-988-4098
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
R042060 (Maine)
Definition
Definition to come...
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