Individual
ANN MARIE PETROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1616 SE BYBEE BLVD., PORTLAND, OR 97202
(503) 793-8004
(800) 381-8993
Mailing address
P.O. BOX 820153, PORTLAND, OR 97282
(503) 754-3050
(800) 381-8993
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
200743401RN
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
200950105NP
OR
Other
Enumeration date
07/29/2008
Last updated
12/01/2014
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