DR. ANTONIA PEREZ NP-PP NPI 1619377322

NPI Information

  • NPI: 1619377322
  • Provider Name: DR. ANTONIA PEREZ, NP-PP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1890 WAITE STREET STE 1
    NORTH BEND, OR
    ZIP 97459
  • Phone: (541) 756-6232

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NPI Details

DR. Antonia Perez, NP-PP is a psychiatric/mental health nurse practitioner in North Bend, OR with 12 years of experience. DR. Antonia Perez, NP-PP NPI is 1619377322. 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:

1890 WAITE STREET STE 1
NORTH BEND, OR
ZIP 97459
Phone: (541) 756-6232
Fax: (541) 756-6234

The NPI 1619377322 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/29/2014 and was last updated on 12/16/2024.

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
1363LF0000XNurse PractitionerFamilyAP129913TEXASNo
2363LF0000XNurse PractitionerFamilyAC001437MARYLANDNo
3363LF0000XNurse PractitionerFamilyRN1015425DISTRICT OF COLUMBIANo
4363LF0000XNurse PractitionerFamily202113062NP-PPOREGONNo
5363LP0808XNurse PractitionerPsychiatric/Mental Health202113062NP-PPOREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11619377322MEDICAIDDISTRICT OF COLUMBIA

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: 11/21/2025

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