Mrs. Kay Diane Peterson
Nurse Practitioner - Community Health Nurse Practitioner - Psychiatric/Mental Health
412 Sw 12th Ave
Portland
, Oregon 97205-2329
Mrs. Kay Diane Peterson
Nurse Practitioner - Community Health Nurse Practitioner - Psychiatric/Mental Health
412 Sw 12th Ave
Portland
, Oregon 97205-2329
(503) 255-6768
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About
Features
Specialties
- Nurse Practitioner - Community Health
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Mrs. Kay Diane Peterson
- 7056 Se Pine St
- Portland, OR
- Zip : 97215-1430
- Phone : (503) 255-6768
Second Address
- Mrs. Kay Diane Peterson
- 412 Sw 12th Ave
- Portland, OR
- Zip : 97205-2329
- Fax : (503) 944-2595
- Phone : (503) 228-7134
Reviews
FAQs
Where did Mrs. Kay Diane Peterson attend graduate school?
Where did Mrs. Kay Diane Peterson do her residency?
Where did Mrs. Kay Diane Peterson do her fellowship?
Is Mrs. Kay Diane Peterson board certified?
In what state does Mrs. Kay Diane Peterson practice in?
Where is Mrs. Kay Diane Peterson ’s practice located?
What is Mrs. Kay Diane Peterson ’s gender?
Is Mrs. Kay Diane Peterson a sole practitioner?
Is Mrs. Kay Diane Peterson accepting new patients?
What languages does Mrs. Kay Diane Peterson speak?
Does Mrs. Kay Diane Peterson accept insurance?
Does Mrs. Kay Diane Peterson offers telemedicine?
What is Mrs. Kay Diane Peterson ’s professional license number?
What is Mrs. Kay Diane Peterson ’s NPI number?
Does Mrs. Kay Diane Peterson have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LC1500X | Nurse Practitioner - Community Health | 093006731N6 | OR |
| N | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 093006731N6 | OR |
National Provider Identifier
| NPI | 1457367690 |
|---|---|
| Provider Name | Mrs. Kay Diane Peterson |
| First Address | Portland, OR 97215-1430 |
| Second Address | Portland, OR 97205-2329 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/07/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 069596 | (05) | OR |
| S86288 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.