PETRONELA PETRA
NPI 1598242521
Counselor - Mental Health in Portland, OR

The NPI number for Petronela Petra is 1598242521. It was assigned to this individual provider in the NPPES registry on July 23, 2018.

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

The NPPES record for Petronela Petra was last updated on July 23, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 23, 2018

15208 SE TIBBETTS ST, PORTLAND, OR 97236(503) 760-0959(503) 761-0041 Get Directions Write a Review

NPPES record last updated: July 23, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Petronela Petra NPPES

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

PETRONELA PETRA (NPI 1598242521) is an individual mental health provider in Portland, Oregon and active in the NPI registry since July 2018.

NPI1598242521

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NamePETRONELA PETRA

Location Address15208 SE TIBBETTS STPortland, OR 97236-2356

Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (541) 858-8170 · Fax (541) 858-8167

Fax(503) 761-0041

Sole ProprietorNo

Enumeration DateJuly 23, 2018

✔ NPI 1598242521 is a valid, active identifier and passes the ISO check-digit test.

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

15208 SE TIBBETTS ST, Portland, OR 97236

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

Counselor (Mental Health)