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

Mrs. Kay Diane Peterson, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1457367690

Mrs. Kay Diane Peterson, PMHNP is a Psychiatric/Mental Health Nurse Practitioner in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006
Specialties on file
2
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

412 SW 12th Ave
Portland, OR 97205-2329
Phone: (503) 228-7134
Fax: (503) 944-2595
Show map & directions

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

Specialties & licences

Community Health Nurse Practitioner (primary) Taxonomy 363LC1500X · Licence 093006731N6 (OR)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 093006731N6 (OR)

Record details

NPI number1457367690
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedJuly 31, 2006
Last updated in NPPESSeptember 11, 2025

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