GABRIELLE MARIE PETERSEN CPNP NPI 1912339896

NPI Information

  • NPI: 1912339896
  • Provider Name: GABRIELLE MARIE PETERSEN, CPNP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • Address: 1713 PENN LN
    OREGON CITY, OR
    ZIP 97045
  • Phone: (503) 655-7725

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NPI Details

Gabrielle Marie Petersen, CPNP is a pediatrics nurse practitioner in Oregon City, OR. Gabrielle Marie Petersen, CPNP NPI is 1912339896. 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:

1713 PENN LN
OREGON CITY, OR
ZIP 97045-528
Phone: (503) 655-7725
Fax: (503) 655-7720

The enumeration date for this NPI number is 8/2/2013 and was last updated on 8/2/2013.

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
1363LP0200XNurse PractitionerPediatrics091000238RNOREGONYes

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
1P97809MEDICARE UPINOREGON

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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