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

Ellen Louise Kline Petersen, FNP-C

Individual provider Family Nurse Practitioner · NPI 1508235326

Ellen Louise Kline Petersen, FNP-C is a Nurse Practitioner in Portland, Oregon. Qualified in 2015, 11 years ago. Practices with University Professional Services, a 1,704-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
11
Licensed in
OR
In the registry since
2015
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 418-4500
Fax: (503) 494-4473
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 14617 Se McLoughlin Blvd, Milwaukie, OR 97267-1416 — (888) 227-3312

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 201506508NP-PP (OR)

Record details

NPI number1508235326
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedSeptember 22, 2015
Last updated in NPPESSeptember 6, 2024
Certification dateSeptember 6, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice University Professional Services — 1704 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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