ANN MARIE PETROS PMHNP NPI 1073779096

NPI Information

NPI: 1073779096
Provider Name: ANN MARIE PETROS, PMHNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
1616 SE BYBEE BLVD.
PORTLAND, OR
ZIP 97202
Phone: (503) 793-8004
Get Directions

Ann Marie Petros, PMHNP is a psychiatric/mental health nurse practitioner in Portland, OR. Ann Marie Petros, PMHNP NPI is 1073779096. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1616 SE BYBEE BLVD.
PORTLAND, OR
ZIP 97202
Phone: (503) 793-8004
Fax: (800) 381-8993

The enumeration date for this NPI number is 7/29/2008 and was last updated on 12/1/2014.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		200743401RN	OREGON	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	200950105NP	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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