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GLENDA A PETERSON PMHN
NPI 1871516773
Nurse Practitioner - Psychiatric/Mental Health in Beaverton, OR

Active since July 25, 2006
16110 SW REGATTA LN, BEAVERTON, OR 97006(503) 629-2131(503) 617-9379 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Glenda A Peterson Pmhn NPPES

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

GLENDA A PETERSON PMHN (NPI 1871516773) is an individual psychiatric/mental health provider in Beaverton, Oregon, licensed in Oregon (079039861N6) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1871516773
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameGLENDA A PETERSONCredential: PMHN
Location Address16110 SW REGATTA LNBeaverton, OR 97006-8942
Mailing AddressPo Box 42510Portland, OR 97242-0510 · (503) 963-1290 · Fax (503) 230-1541
Phone(503) 629-2131
Fax(503) 617-9379
Sole ProprietorNo
Enumeration DateJuly 25, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1871516773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OR · 079039861N6
16110 SW REGATTA LN, Beaverton, OR 97006
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Other Identifiers 1

Other115218Managed Health

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.

BEAVERTON PSYCHOLOGY SERVICES LLC
Psychologist
16110 SW REGATTA LN
BEAVERTON, OR 97006
Washington County (503) 526-2917
KATIE UGOLINI PHD LLC
Clinic/Center (Adult Mental Health)
16110 SW REGATTA LN
BEAVERTON, OR 97006
Washington County (503) 617-6810
ANN JOHNSON HOWARD MD
Psychiatry & Neurology (Psychiatry)
16110 SW REGATTA LN
BEAVERTON, OR 97006
Washington County (503) 629-2131
KATHY M DANZE LCSW
Social Worker
16110 SW REGATTA LN
BEAVERTON, OR 97006
Washington County (503) 629-2131
WILDWOOD PSYCHIATRIC RESOURCE CENTER
Psychologist
16110 SW REGATTA LN
BEAVERTON, OR 97006
Washington County (503) 629-2131
ASHLEY WILKINS LCSW
Social Worker (Clinical)
16110 SW REGATTA LN
BEAVERTON, OR 97006
Washington County (971) 389-4790
MRS. LYNNE PHILLIPS WERBEL LCSW
Social Worker
16110 SW REGATTA LN
BEAVERTON, OR 97006
Washington County (503) 690-9119
ALEX J RICKETTS PHD
Psychologist
16110 SW REGATTA LN
BEAVERTON, OR 97006
Washington County (503) 533-7166

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 Glenda Peterson's NPI number?

The NPI number for Glenda Peterson is 1871516773. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Glenda Peterson located?

Glenda Peterson practices at 16110 SW Regatta Ln, Beaverton, OR 97006. The listed phone number is (503) 629-2131.

What is Glenda Peterson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Glenda Peterson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.