Peter Depaoli

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

License

93-1220053 Issued in OR

Practice address

7440 SW Hunziker St
Suite D
Tigard, OR 97223-8245

Phone

(503) 624-0456

Fax

(503) 624-0458

NPI assigned

Jun 12, 2014

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402531200000",
    "number": "1770997264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7440 SW HUNZIKER ST",
            "address_2": "SUITE D",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238245",
            "telephone_number": "503-624-0456",
            "fax_number": "503-624-0458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7440 SW HUNZIKER ST",
            "address_2": "SUITE D",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238245",
            "telephone_number": "503-624-0456",
            "fax_number": "503-624-0458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPAOLI",
        "first_name": "PETER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-12",
        "last_updated": "2014-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "OR",
            "license": "93-1220053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Denning Hille, LPC
• Dennis P. Clark, D.M.D., P.C.
• Abigail Denny, OTR/L
• Dana Denny, MA, LMFT
• Dental3
• Benjamin Depass, DC
• Erica Jeanne Depenna
• Dermatology Associates,P.C.
• Neil J Desouza, M.D.
• Patricia Lynn Desrochers, LCSW

• Pastoral Counselor in Tigard, OR
• Providers in Tigard, OR by specialty
• Pastoral Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.