Ethan David Pettyjohn is a Portland, Oregon based counselor who is specialized as Professional Counselor. Active license number of Ethan David Pettyjohn is C7752 for Professional Counselor in Oregon. His current practice location is 9755 Sw Barnes Rd, Portland. Patients can book an appointment with him at 503-444-4862.
Ethan David Pettyjohn is a licensed mental health practitioner trained to help individuals, couples, and groups address emotional, psychological, and behavioral challenges. He uses talk therapy and evidence-based counseling methods to support clients in managing mental health conditions, improving relationships, and developing coping strategies for life’s difficulties.
Complete Profile:
Ethan David Pettyjohn speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Ethan David Pettyjohn
Specialization:
Professional Counselor
Gender:
Male
Credentials:
LPC
Accepts Medicare Assignment:
No
Practice Address:
9755 Sw Barnes Rd, Portland, Oregon, 97225-6651
Phone:
503-444-4862
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1619452307
NPI Enumeration Date:
27 Sep, 2018
NPI Last Update On:
13 Nov, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ethan David Pettyjohn are as mentioned below.
License Number
Specialization
State
Status
C7752
Professional Counselor
Oregon
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
4370 Sw 107th Ave Apt 4, Beaverton, Oregon
Zip:
97005-3187
Phone Number:
978-621-4162
Patients can reach Ethan David Pettyjohn at 9755 Sw Barnes Rd, Portland, Oregon or can call to book an appointment on 503-444-4862. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.