IndividualActive
Ann Petros, PMHNP
NPI 1073779096 · Psychiatric/Mental Health Nurse Practitioner · Portland, OR
Provider details
- NPI number
- 1073779096
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PMHNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 200743401RN (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1616 Se Bybee Blvd.
Portland, OR 97202
Phone: (503) 793-8004
Fax: (800) 381-8993
Street-level locationGet directions
Mailing address
P.o. Box 820153
Portland, OR 97282
Registry dates
- Enumerated
- 2008-07-29
- Last updated
- 2014-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.