Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KAY DIANE PETERSON, PMHNP
ActiveMRS. KAY DIANE PETERSON, PMHNP is a Community Health Nurse Practitioner healthcare provider located in PORTLAND, Oregon. NPI 1457367690 is currently active in the NPPES registry. Verify at CMS.
Community Health Nurse Practitioner · PORTLAND, OR
Registration Details
- NPI Number
- 1457367690
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 31, 2006 (20.012985714524 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
093006731N6 (OR)093006731N6 (OR)
Practice Information
- Address
-
412 SW 12TH AVEPORTLAND, OR, 972052329Browse OR providers · Browse ZIP 97205
- Phone
- 5032287134
- Fax
- 5039442595
- Primary Specialty
-
Community Health Nurse Practitioner
363LC1500X
- Additional Specialty
- Community Health Nurse Practitioner
Other Community Health Nurse Practitioner Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| THOMAS S STEWART | NP | 1063433365 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.