Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KYLEE M PETERSON LLC
NPI 1710897715
Community/Behavioral Health in Beaverton, OR

Active since September 10, 2026
12785 SW PERCHERON LN, BEAVERTON, OR 97008(503) 208-5223 Get Directions Write a Review

NPPES record added: September 10, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Kylee M Peterson Llc NPPES

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

KYLEE M PETERSON LLC (NPI 1710897715) is a healthcare organization registered as a community/behavioral health in Beaverton, Oregon and active in the NPI registry since September 2026. The organization lists Kylee Peterson, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1710897715
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameKYLEE M PETERSON LLC
Location Address12785 SW PERCHERON LNBeaverton, OR 97008-8123
Mailing Address12785 Sw Percheron LnBeaverton, OR 97008-8123 · (503) 208-5223
Organization SubpartNo
Authorized OfficialKylee PetersonClinical Psychologist · (503) 208-5223
Enumeration DateSeptember 10, 2026
NPPES CertifiedSeptember 10, 2026
NPI 1710897715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
12785 SW PERCHERON LN, Beaverton, OR 97008

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 Kylee M Peterson LLC's NPI number?

The NPI number for Kylee M Peterson LLC is 1710897715. It was assigned to this organization in the NPPES registry on September 10, 2026.

Where is Kylee M Peterson LLC located?

Kylee M Peterson LLC is located at 12785 SW Percheron Ln, Beaverton, OR 97008. The listed phone number is (503) 208-5223.

What is Kylee M Peterson LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Kylee M Peterson LLC was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.