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BEVERLY ANN PETERSON
NPI 1033711676
Counselor - Mental Health in Portland, OR

Active since November 09, 2020
17720 NE HALSEY ST STE A, PORTLAND, OR 97230(503) 654-7654(503) 654-7333 Get Directions Write a Review

NPPES record last updated: November 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Beverly Ann Peterson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEVERLY ANN PETERSON (NPI 1033711676) is an individual mental health provider in Portland, Oregon and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1033711676
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameBEVERLY ANN PETERSON
Location Address17720 NE HALSEY ST STE APortland, OR 97230-6771
Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (541) 858-8170 · Fax (541) 858-8167
Phone(503) 654-7654
Fax(503) 654-7333
Sole ProprietorNo
Enumeration DateNovember 9, 2020
NPPES CertifiedNovember 9, 2020
✔ NPI 1033711676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
17720 NE HALSEY ST STE A, Portland, OR 97230
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRYSTAL VELAZQUEZ
Counselor (Mental Health)
17720 NE HALSEY ST STE A
PORTLAND, OR 97230
Multnomah County (503) 654-7654
RENEE PARROTT
Counselor (Mental Health)
17720 NE HALSEY ST STE A
PORTLAND, OR 97230
Multnomah County (503) 654-7654
D'ARICK D DULIN
Counselor (Mental Health)
17720 NE HALSEY ST STE A
PORTLAND, OR 97230
Multnomah County (503) 654-7654
KYLE SCHRIFT
Counselor (Mental Health)
17720 NE HALSEY ST STE A
PORTLAND, OR 97230
Multnomah County (503) 654-7654
NYBELLE CARUSO
Social Worker (Clinical)
17720 NE HALSEY ST STE A
PORTLAND, OR 97230
Multnomah County (503) 654-7654
PHILIP ARTHUR LUCHT
Counselor (Mental Health)
17720 NE HALSEY ST STE A
PORTLAND, OR 97230
Multnomah County (503) 654-7654
MEAGAN TANK
Counselor (Mental Health)
17720 NE HALSEY ST STE A
PORTLAND, OR 97230
Multnomah County (503) 654-7654
KATIE MIRANDA
Case Manager/Care Coordinator
17720 NE HALSEY ST STE A
PORTLAND, OR 97230
Multnomah County (503) 654-7654

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beverly Peterson's NPI number?

The NPI number for Beverly Peterson is 1033711676. It was assigned to this individual provider in the NPPES registry on November 9, 2020.

Where is Beverly Peterson located?

Beverly Peterson practices at 17720 NE Halsey St Ste A, Portland, OR 97230. The listed phone number is (503) 654-7654.

What is Beverly Peterson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Beverly Peterson was last updated on November 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.