PHARY PETH
NPI 1508224395
Counselor - Mental Health in Portland, OR

Active since February 08, 2016
17720 NE HALSEY ST, PORTLAND, OR 97230(503) 654-7654(503) 654-7333 Get Directions Write a Review

NPPES record last updated: January 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 14, 2020, Dec 13, 2016, Feb 8, 2016 (3 updates tracked since 2016).

About Phary Peth NPPES

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

PHARY PETH (NPI 1508224395) is an individual mental health provider in Portland, Oregon and active in the NPI registry since February 2016.

NPPES Registry Identity

NPI1508224395
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NamePHARY PETH
Location Address17720 NE HALSEY STPortland, OR 97230-6776
Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (541) 858-8170
Fax(503) 654-7333
Sole ProprietorNo
Enumeration DateFebruary 8, 2016
Last NPPES UpdateJanuary 14, 20203 updates tracked since enumeration
NPI 1508224395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
17720 NE HALSEY ST, Portland, OR 97230

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.

Counselor (Mental Health)
17720 NE HALSEY ST
PORTLAND, OR 97230
Counselor (Mental Health)
17720 NE HALSEY ST
PORTLAND, OR 97230
Community Based Residential Treatment Facility, Mental Illness
17720 NE HALSEY ST
PORTLAND, OR 97230
Social Worker (Clinical)
17720 NE HALSEY ST
PORTLAND, OR 97230
Counselor (Mental Health)
17720 NE HALSEY ST
PORTLAND, OR 97230
Counselor (Mental Health)
17720 NE HALSEY ST
PORTLAND, OR 97230
Counselor (Mental Health)
17720 NE HALSEY ST
PORTLAND, OR 97230
Counselor (Mental Health)
17720 NE HALSEY ST
PORTLAND, OR 97230

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 Phary Peth's NPI number?

The NPI number for Phary Peth is 1508224395. It was assigned to this individual provider in the NPPES registry on February 8, 2016.

Where is Phary Peth located?

Phary Peth practices at 17720 NE Halsey St, Portland, OR 97230. The listed phone number is (503) 654-7654.

What is Phary Peth'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 Phary Peth was last updated on January 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.