Peter Swanson , BA IN PSYCHOLOGY
Specialist • Gresham, OR
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Peter Swanson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Peter Swanson, BA IN PSYCHOLOGY was a registered Specialist practicing in Gresham, OR. Throughout an active medical career spanning 18 years, Peter Swanson provided care at the practice location at 4101 NE DIVISION ST until profile deactivation on 2025-10-08.
Practice Location & Contact Primary Location
4101 Ne Division St
Suite # 100
Gresham, OR 970304617
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Gresham, OR
Practicing in Gresham, OR (1153 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Registered Nurse - Psychiatric/Mental Health
Registered Nurse, Licensed Acupuncturist
Specialist
Bachelor of Science
Specialist
BAINFRENCH, Master of Social Work
Case Manager/Care Coordinator
Registered Nurse
Registered Nurse
Counselor - Mental Health
Qualified Mental Health Professional
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on October 08, 2025
NPI status registered as active in NPPES database
Registered at 4101 NE DIVISION ST, SUITE # 100, GRESHAM, OR 970304617 (Tel: 5036663808)
Registered at 824 SE 30TH AVE, APT # 2, PORTLAND, OR 972144060 (Tel: 5039706236)
Recorded as PETER SWANSON, BA IN PSYCHOLOGY
Specialist
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
824 Se 30th Ave, Apt # 2
Portland, OR 972144060
Phone: 5039706236
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