IndividualActive
Pegah Bakhtiyari
NPI 1275239154 · Mental Health Counselor · Wilderville, OR
Provider details
- NPI number
- 1275239154
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- R12322 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
13180 Redwood Hwy
Wilderville, OR 97543-9092
Phone: (972) 900-3816
Approximate (ZIP-level) locationGet directions
Mailing address
13180 Redwood Hwy
Wilderville, OR 97543-9092
Registry dates
- Enumerated
- 2023-02-02
- Last updated
- 2025-11-14
- Certified
- 2025-11-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.