Individual
KARA LYNN PETREDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1551 OAK ST STE B, EUGENE, OR 97401-4023
(541) 255-1411
Mailing address
1711 WILLAMETTE STREET, SUITE 301, #140, EUGENE, OR 97401-4593
(541) 255-1411
(541) 255-1412
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
202204007NP-PP
OR
Other
Enumeration date
09/05/2021
Last updated
09/12/2023
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