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NIKOBI PETRONELLI
NPI 1508483223
Peer Specialist in Milwaukie, OR

Active since June 29, 2020
11073 SE MAIN ST, MILWAUKIE, OR 97222(541) 214-7680 Get Directions Write a Review

NPPES record last updated: June 29, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nikobi Petronelli NPPES

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

NIKOBI PETRONELLI (NPI 1508483223) is an individual peer specialist in Milwaukie, Oregon and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1508483223
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameNIKOBI PETRONELLI
Location Address11073 SE MAIN STMilwaukie, OR 97222-7645
Mailing Address11073 Se Main StMilwaukie, OR 97222-7645 · (541) 214-7680
Phone(541) 214-7680
Sole ProprietorNo
Enumeration DateJune 29, 2020
NPPES CertifiedJune 29, 2020
✔ NPI 1508483223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
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.
11073 SE MAIN ST, Milwaukie, OR 97222
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Other Providers at the Same Location NPPES 7

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

JANAYA PRATCHER
Peer Specialist
11073 SE MAIN ST
MILWAUKIE, OR 97222
Clackamas County (541) 510-2184
JASPER ADAMS
Peer Specialist
11073 SE MAIN ST
MILWAUKIE, OR 97222
Clackamas County (458) 201-2754
KENDALL FRANCES BURNS CRM; PSS
Peer Specialist
11073 SE MAIN ST
MILWAUKIE, OR 97222
Clackamas County (503) 974-9025
LIDIA DEL PILAR ZARAGOZA-RIOS
Peer Specialist
11073 SE MAIN ST
MILWAUKIE, OR 97222
Clackamas County (541) 556-9349
KARA S BUTLER
Peer Specialist
11073 SE MAIN ST
MILWAUKIE, OR 97222
Clackamas County (503) 484-0895
JESUS JASSED NUNEZ-PINEDA
Peer Specialist
11073 SE MAIN ST
MILWAUKIE, OR 97222
Clackamas County (541) 690-6056
TYE DEWALD
Peer Specialist
11073 SE MAIN ST
MILWAUKIE, OR 97222
Clackamas County (503) 592-3204

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 Nikobi Petronelli's NPI number?

The NPI number for Nikobi Petronelli is 1508483223. It was assigned to this individual provider in the NPPES registry on June 29, 2020.

Where is Nikobi Petronelli located?

Nikobi Petronelli practices at 11073 SE Main St, Milwaukie, OR 97222. The listed phone number is (541) 214-7680.

What is Nikobi Petronelli's specialty?

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

When was this NPI record last updated?

The NPPES record for Nikobi Petronelli was last updated on June 29, 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.