MARLYS ANN PETERSEN MA
NPI 1134510316
Counselor - Mental Health in Portland, OR

Active since February 10, 2015
8325 SW 61ST AVE, PORTLAND, OR 97219(503) 867-9913 Get Directions Write a Review

NPPES record last updated: February 10, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marlys Ann Petersen Ma NPPES

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

MARLYS ANN PETERSEN MA (NPI 1134510316) is an individual mental health provider in Portland, Oregon and active in the NPI registry since February 2015.

NPPES Registry Identity

NPI1134510316
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARLYS ANN PETERSENCredential: MA
Location Address8325 SW 61ST AVEPortland, OR 97219-3109
Mailing AddressPo Box 80524, Sw Picasso PlacePortland, OR 97280-1524 · (503) 867-9913
Sole ProprietorNo
Enumeration DateFebruary 10, 2015
NPI 1134510316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
8325 SW 61ST AVE, Portland, OR 97219

Other Providers at the Same Location NPPES 5

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

Counselor (Mental Health)
8325 SW 61ST AVE
PORTLAND, OR 97219
Counselor (Mental Health)
8325 SW 61ST AVE
PORTLAND, OR 97219
Counselor (Mental Health)
8325 SW 61ST AVE
PORTLAND, OR 97219
Social Worker
8325 SW 61ST AVE
PORTLAND, OR 97219
Contractor
8325 SW 61ST AVE
PORTLAND, OR 97219

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 Marlys Petersen's NPI number?

The NPI number for Marlys Petersen is 1134510316. It was assigned to this individual provider in the NPPES registry on February 10, 2015.

Where is Marlys Petersen located?

Marlys Petersen practices at 8325 SW 61st Ave, Portland, OR 97219. The listed phone number is (503) 867-9913.

What is Marlys Petersen'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 Marlys Petersen was last updated on February 10, 2015. 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.