Individual
JULIE M. PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
30 NE MLK JR BLVD, PORTLAND, OR 97232-2941
(503) 232-1099
(503) 232-3854
Mailing address
30 NE MLK JR BLVD, PORTLAND, OR 97232-2941
(503) 232-1099
(503) 232-3854
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00138549
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201403887NP-PP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP60559831
WA
Other
Enumeration date
07/02/2014
Last updated
10/24/2025
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