Individual
PETER BARRETT CROSBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS QMHA
Contact information
Practice address
7003 SE WOODSTOCK BLVD, PORTLAND, OR 97206-5940
(503) 402-8107
(503) 771-2728
Mailing address
1706 SE REEDWAY ST, PORTLAND, OR 97202-5127
(360) 430-3956
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/22/2007
Last updated
09/11/2025
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