Kay Peterson, PMHNP

Individual Active
NPI 1457367690
Community Health Nurse Practitioner Portland, OR

Kay Peterson, PMHNP holds NPI 1457367690, with a primary taxonomy of community health nurse practitioner and a practice location in Portland, OR. The number was issued on July 31, 2006 and the NPPES record was last updated on September 11, 2025. The record lists 2 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Community Health Nurse Practitioner Primary 363LC1500X 093006731N6 (OR)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 093006731N6 (OR)

Practice location

412 SW 12th Ave
Portland, OR 97205-2329
Phone: (503) 228-7134

Local context

Active NPPES records list 5 providers with community health nurse practitioner as the primary taxonomy within 25 miles of this practice location's ZIP code, 4 of them within 10 miles.

The same primary taxonomy is listed by 9 in Oregon and 448 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Mrs. Kay Diane Peterson
Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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