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ANN MARIE PETROS PMHNP
NPI 1073779096
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR

Active since July 29, 2008
1616 SE BYBEE BLVD., PORTLAND, OR 97202(503) 793-8004(800) 381-8993 Get Directions Write a Review

NPPES record last updated: December 1, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ann Marie Petros Pmhnp NPPES

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

ANN MARIE PETROS PMHNP (NPI 1073779096) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in Oregon (200950105NP) and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1073779096
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameANN MARIE PETROSCredential: PMHNP
Location Address1616 SE BYBEE BLVD.Portland, OR 97202
Mailing AddressP.o. Box 820153Portland, OR 97282 · (503) 754-3050 · Fax (800) 381-8993
Phone(503) 793-8004
Fax(800) 381-8993
Sole ProprietorYes
Enumeration DateJuly 29, 2008
Last NPPES UpdateDecember 1, 2014
✔ NPI 1073779096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OR · 200950105NP
Also ListedRegistered NurseTaxonomy 163W00000X · License 200743401RN (OR)
1616 SE BYBEE BLVD., Portland, OR 97202
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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 Ann Petros's NPI number?

The NPI number for Ann Petros is 1073779096. It was assigned to this individual provider in the NPPES registry on July 29, 2008.

Where is Ann Petros located?

Ann Petros practices at 1616 SE Bybee Blvd., Portland, OR 97202. The listed phone number is (503) 793-8004.

What is Ann Petros's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Ann Petros was last updated on December 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.