BENNETT GREY PETERSON
NPI 1255069647
Technician - Personal Care Attendant in Portland, OR

Active since August 12, 2022
5023 NE KILLINGSWORTH ST, PORTLAND, OR 97218(503) 284-1794 Get Directions Write a Review

NPPES record last updated: August 12, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bennett Grey Peterson NPPES

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

BENNETT GREY PETERSON (NPI 1255069647) is an individual personal care attendant in Portland, Oregon and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1255069647
Entity TypeIndividualMale
Primary Taxonomy3747P1801X
Provider Legal NameBENNETT GREY PETERSON
Location Address5023 NE KILLINGSWORTH STPortland, OR 97218-1915
Mailing AddressPo Box 8459Portland, OR 97207-8459
Sole ProprietorNo
Enumeration DateAugust 12, 2022
NPPES CertifiedAugust 12, 2022
NPI 1255069647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition

An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards

5023 NE KILLINGSWORTH ST, Portland, OR 97218

Other Names 1

Professional Name (2)B Peterson

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.

Adult Companion
5023 NE KILLINGSWORTH ST
PORTLAND, OR 97218
Adult Companion
5023 NE KILLINGSWORTH ST
PORTLAND, OR 97218
Counselor (Mental Health)
5023 NE KILLINGSWORTH ST
PORTLAND, OR 97218
Adult Companion
5023 NE KILLINGSWORTH ST
PORTLAND, OR 97218
Case Manager/Care Coordinator
5023 NE KILLINGSWORTH ST
PORTLAND, OR 97218
Case Manager/Care Coordinator
5023 NE KILLINGSWORTH ST
PORTLAND, OR 97218
Adult Companion
5023 NE KILLINGSWORTH ST
PORTLAND, OR 97218
Case Manager/Care Coordinator
5023 NE KILLINGSWORTH ST
PORTLAND, OR 97218

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 Bennett Peterson's NPI number?

The NPI number for Bennett Peterson is 1255069647. It was assigned to this individual provider in the NPPES registry on August 12, 2022. The provider is also known as B Peterson.

Where is Bennett Peterson located?

Bennett Peterson practices at 5023 NE Killingsworth St, Portland, OR 97218. The listed phone number is (503) 284-1794.

What is Bennett Peterson's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Bennett Peterson was last updated on August 12, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.