Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Carolyn Alisa Peterson, PHD

Individual provider Psychologist · NPI 1386403863

Dr. Carolyn Alisa Peterson, PHD is a Psychologist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2024.

Licensed in
OR
In the registry since
2024
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

4039 N Mississippi Ave Ste 307
Portland, OR 97227-1477
Phone: (971) 402-9705
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 3197 (OR)

Record details

NPI number1386403863
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedMarch 18, 2024
Last updated in NPPESJanuary 25, 2025
Certification dateJanuary 25, 2025

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