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

Individual provider Mental Health Counselor · NPI 1134510316

Marlys Ann Petersen, MA is a Mental Health Counselor in Portland, Oregon. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

8325 SW 61st Ave
Portland, OR 97219-3109
Phone: (503) 867-9913
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1134510316
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA
Sole proprietorNo
NPI enumeratedFebruary 10, 2015
Last updated in NPPESFebruary 10, 2015

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