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

Lucy Rose Peterson, CADCII

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1053681452

Lucy Rose Peterson, CADCII is an Addiction (Substance Use Disorder) Counselor in Portland, Oregon. Licensed in Idaho and Oregon. Registered with an NPI since 2012.

Licensed in
ID, OR
In the registry since
2012
Specialties on file
2

Practice location Address checks out

17645 NW Saint Helens Rd
Portland, OR 97231-1729
Phone: (503) 621-1069
Fax: (503) 621-0200
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 00-03-32 (OR)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 11807 (ID)

Record details

NPI number1053681452
Entity typeIndividual (Type 1)
GenderFemale
Credentials CADCII
Sole proprietorNo
NPI enumeratedJanuary 3, 2012
Last updated in NPPESSeptember 10, 2024
Certification dateSeptember 10, 2024

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