Peterca, Kristen

Peterca, Kristen is an individual health care provider with primary practice located at 1700 Nw Civic Dr Suite 310, Gresham OR 97030-3770. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Peterca, Kristen can be contacted via phone (503) 666-8332.

Contact Information

Primary practice address
1700 Nw Civic Dr Suite 310 Gresham OR 97030-3770
Phone: (503) 666-8332
Fax: (503) 669-8641
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X C2304 Oregon
Behavioral Health & Social Service Providers / Mental Health 101YM0800X C2304 Oregon

Profile Details

NPI number 1447485594
LBN Legal business name Peterca, Kristen
Credentials MA, LPC, NCC
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2009
Last updated Jan 14th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447485594 NPPES
Oregon MEDICAID 164936

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