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LUCY ROSE PETERSON CADC II
NPI 1053681452
Counselor - Addiction (Substance Use Disorder) in Portland, OR

Active since January 03, 2012
17645 NW SAINT HELENS RD, PORTLAND, OR 97231(503) 621-1069(503) 621-0200 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lucy Rose Peterson Cadc Ii NPPES

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

LUCY ROSE PETERSON CADC II (NPI 1053681452) is an individual addiction (substance use disorder) provider in Portland, Oregon, licensed in Oregon (00-03-32) and active in the NPI registry since January 2012.

NPPES Registry Identity

NPI1053681452
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameLUCY ROSE PETERSONCredential: CADC II
Location Address17645 NW SAINT HELENS RDPortland, OR 97231-1729
Mailing Address1776 Sw Madison StPortland, OR 97205-1715 · (503) 224-1044 · Fax (503) 621-2235
Phone(503) 621-1069
Fax(503) 621-0200
Sole ProprietorNo
Enumeration DateJanuary 3, 2012
Last NPPES UpdateSeptember 10, 2024
NPPES CertifiedSeptember 10, 2024
✔ NPI 1053681452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Licenses✔ Licensed in OR · 00-03-32✔ Licensed in ID · 11807
17645 NW SAINT HELENS RD, Portland, OR 97231
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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.

NATIVE AMERICAN REHABILITATION ASSOC INC
Clinic/Center (Federally Qualified Health Center (FQHC))
17645 NW SAINT HELENS RD
PORTLAND, OR 97231
Multnomah County (503) 621-1069
MICHAEL HENRY LARICCIA CADC I
Counselor (Addiction (Substance Use Disorder))
17645 NW SAINT HELENS RD
PORTLAND, OR 97231
Multnomah County (503) 621-1069
AMBER R ESPINO-BARNES CADC II/QMHP-C
Counselor (Addiction (Substance Use Disorder))
17645 NW SAINT HELENS RD
PORTLAND, OR 97231
Multnomah County (503) 621-1069
PAMELA MARIE SADELMYER CADC II
Counselor (Addiction (Substance Use Disorder))
17645 NW SAINT HELENS RD
PORTLAND, OR 97231
Multnomah County (503) 621-1069
AMY C SMITH CADC, CRM, QMHA
Counselor (Addiction (Substance Use Disorder))
17645 NW SAINT HELENS RD
PORTLAND, OR 97231
Multnomah County (503) 621-1069
VICTORIA K LABUHN RN
Registered Nurse
17645 NW SAINT HELENS RD
PORTLAND, OR 97231
Multnomah County (503) 621-1069
JANUS K VANDERHOOF CADC II
Counselor (Addiction (Substance Use Disorder))
17645 NW SAINT HELENS RD
PORTLAND, OR 97231
Multnomah County (503) 621-1069
INGRID A ZECKSER RN
Registered Nurse
17645 NW SAINT HELENS RD
PORTLAND, OR 97231
Multnomah County (503) 621-1069

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 Lucy Peterson's NPI number?

The NPI number for Lucy Peterson is 1053681452. It was assigned to this individual provider in the NPPES registry on January 3, 2012.

Where is Lucy Peterson located?

Lucy Peterson practices at 17645 NW Saint Helens Rd, Portland, OR 97231. The listed phone number is (503) 621-1069.

What is Lucy Peterson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Lucy Peterson was last updated on September 10, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.