Individual
ETHAN DAVID PETTYJOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
9755 SW BARNES RD, PORTLAND, OR 97225-6651
(503) 444-4862
Mailing address
4370 SW 107TH AVE APT 4, BEAVERTON, OR 97005-3187
(978) 621-4162
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C7752
OR
Other
Enumeration date
09/27/2018
Last updated
11/13/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us