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

Peggy Ann Bradley Pearson, ANP

Individual provider Adult Health Nurse Practitioner · NPI 1114106598

Peggy Ann Bradley Pearson, ANP is a Nurse Practitioner in Portland, Oregon. Qualified in 2003, 23 years ago. Practices with Kaiser Foundation Health Plan of the Northwest, a 1,811-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
23
Licensed in
OR
In the registry since
2007
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Practice location Address checks out

3500 N Interstate Ave
Portland, OR 97227-1196
Phone: (503) 249-5511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 200550062NP (OR)

Record details

NPI number1114106598
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP
Sole proprietorNo
NPI enumeratedNovember 1, 2007
Last updated in NPPESDecember 17, 2021
Certification dateDecember 17, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Kaiser Foundation Health Plan Of The Northwest — 1811 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Portland