MICHAEL PATRICK PETERSEN
NPI 1447148275
Counselor - Mental Health in Wood Village, OR
Active since June 27, 2025
About Michael Patrick Petersen NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL PATRICK PETERSEN (NPI 1447148275) is an individual mental health provider in Wood Village, Oregon and active in the NPI registry since June 2025.
NPPES Registry Identity
NPI1447148275
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMICHAEL PATRICK PETERSEN
Location Address23500 NE HALSEY STWood Village, OR 97060-2815
Mailing AddressPo Box 8459Portland, OR 97207-8459
Phone(503) 512-7503
Sole ProprietorNo
Enumeration DateJune 27, 2025
NPPES CertifiedJune 27, 2025
✔ NPI 1447148275 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
23500 NE HALSEY ST, Wood Village, OR 97060
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1447148275, enumerated as an "individual" on June 27, 2025.
The provider is located at 23500 NE HALSEY ST WOOD VILLAGE, OR 97060 and the phone number is (503) 512-7503.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
