IndividualActive
Kay Peterson, PMHNP
NPI 1457367690 · Community Health Nurse Practitioner · Portland, OR
Provider details
- NPI number
- 1457367690
- Entity type
- Individual
- Primary specialty
- Community Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PMHNP
- Sex
- Female
- Sole proprietor
- No
- License
- 093006731N6 (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
412 Sw 12th Ave
Portland, OR 97205-2329
Phone: (503) 228-7134
Fax: (503) 944-2595
Street-level locationGet directions
Mailing address
7056 Se Pine St
Portland, OR 97215-1430
Registry dates
- Enumerated
- 2006-07-31
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.