Peterson, Jennie Michelle

Peterson, Jennie Michelle is an individual health care provider with primary practice located at 14743 Nw Glacier Ln , Beaverton OR 97006-5892. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Peterson, Jennie Michelle can be contacted via phone (503) 443-8339.

Contact Information

Primary practice address
14743 Nw Glacier Ln Beaverton OR 97006-5892
Phone: (503) 443-8339
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 201808713NP-PP Oregon

Profile Details

NPI number 1144732918
LBN Legal business name Peterson, Jennie Michelle
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2017
Last updated May 9th, 2024 - about 2 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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