Provider Profile

Ethan D. Pettyjohn, LPC

Unclaimed Profile

About Ethan Pettyjohn

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Education & Training

School Other Graduated: 2018

Specialty

Professional Counselor (Primary)

Credentials & Licensing

OR licenseC7752
NPI1619452307
NPI issued09/27/2018

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Accepts Medicare assignmentYes
Telehealth reported to CMSYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What kind of doctor is Ethan D. Pettyjohn?

Ethan D. Pettyjohn is a professional counselor in Portland, OR. That is the designation recorded for this NPI in the federal registry.

NPI registry

What is Ethan D. Pettyjohn's address?

Ethan D. Pettyjohn is listed at 9755 Sw Barnes Rd, Portland, OR 97225. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Ethan D. Pettyjohn?

The number on file is (503) 444-4862. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is the NPI for Ethan D. Pettyjohn?

Ethan D. Pettyjohn's National Provider Identifier is 1619452307. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Ethan D. Pettyjohn train?

Ethan D. Pettyjohn attended Other, graduating in 2018. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Ethan D. Pettyjohn have?

Ethan D. Pettyjohn has 8 years experience. Calculated from a graduation year of 2018, reported in the CMS National Downloadable File.

CMS public data

Is Ethan D. Pettyjohn's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Ethan D. Pettyjohn. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.