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

Michael Patrick Petersen

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1447148275

Michael Patrick Petersen is an Addiction (Substance Use Disorder) Counselor in Wood Village, Oregon. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2

Practice location Address checks out

23500 NE Halsey St
Wood Village, OR 97060-2815
Phone: (503) 512-7503
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1447148275
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 27, 2025
Last updated in NPPESJune 27, 2025
Certification dateJune 27, 2025
Mailing addressPo Box 8459, Portland, OR 97207-8459