TODD BRADLEY PETRIE
NPI 1285124545
Peer Specialist in Portland, OR

Q: What is Todd Petrie's NPI number?

The NPI number for Todd Petrie is 1285124545. It was assigned to this individual provider in the NPPES registry on May 12, 2018.

Q: What is Todd Petrie's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for Todd Petrie was last updated on May 12, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 12, 2018

7916 SE FOSTER RD STE 201, PORTLAND, OR 97206(503) 374-3730 Get Directions Write a Review

NPPES record last updated: May 12, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Todd Bradley Petrie NPPES

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

TODD BRADLEY PETRIE (NPI 1285124545) is an individual peer specialist in Portland, Oregon, licensed in Oregon (17-CRM-013) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1285124545

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameTODD BRADLEY PETRIE

Location Address7916 SE FOSTER RD STE 201Portland, OR 97206-4289

Mailing AddressPo Box 16756Portland, OR 97292-0756 · (503) 374-3730 · Fax (503) 208-2596

Phone(503) 374-3730

Sole ProprietorYes

Enumeration DateMay 12, 2018

✔ NPI 1285124545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

License✔ Licensed in OR · 17-CRM-013

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

7916 SE FOSTER RD STE 201, Portland, OR 97206

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