GREGORY HOWARD PETERSON NPI 1063818409

NPI Information

Gregory Howard Peterson is a counselor in Portland, OR. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Gregory Howard Peterson NPI is 1063818409. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5926 SE 104TH AVE APT A
PORTLAND, OR
ZIP 97266-184
Phone: (253) 691-6527

The enumeration date for this NPI number is 11/12/2014 and was last updated on 11/12/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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