Michael Patrick Petersen
NPI #1447148275 in Wood Village, Oregon
Provider Information
- NPI Number
- 1447148275
- Entity Type
- Individual
- Name
- Michael Patrick Petersen
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Jun 27, 2025
- Last Updated
- Jun 27, 2025
Practice Location
- Address
- 23500 NE HALSEY ST
- City
- Wood Village
- State
- Oregon
- ZIP Code
- 97060-2815
- Phone
- (503) 512-7503
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Counselor - Mental Health — Mental Health |
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