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

Kiana Kay Shin-Tze Petersen

Individual provider Community Health Worker · NPI 1184344608

Kiana Kay Shin-Tze Petersen is a Community Health Worker in Bend, Oregon. Licensed in Oregon. Registered with an NPI since 2022.

Licensed in
OR
In the registry since
2022

Practice location Address checks out

2200 NE Professional Ct
Bend, OR 97701-6063
Phone: (541) 389-6313
Fax: (541) 389-8760
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X · Licence THW000106121 (OR)

Record details

NPI number1184344608
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 2, 2022
Last updated in NPPESSeptember 2, 2022
Certification dateSeptember 2, 2022

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