Patrick Welly, Lmft

NPI 1245643295 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1245643295
Enumeration Date 06/07/2014
Last Updated 06/07/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name PATRICK MATTHEW PATRICK
Position PSYCHOTHERAPIST
Phone (503) 249-9997
Fax
Practice Location
2106 NE 40TH AVE
PORTLAND OR, 97212-5405, US
Phone (503) 249-9997
Fax
Business Location
2106 NE 40TH AVE
PORTLAND OR, 97212-5405, US
Phone (503) 249-9997
Fax
Toxanomy
Taxonomy Code 251S00000X
License State Oregon
License Number T0371
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According to our database, Patrick Welly, Lmft NPI is 1245643295, taxonomy code is 251S00000X and license number is T0371, license state is located at Oregon. Patrick Welly, Lmft physically located at 2106 Ne 40th Ave, Portland OR, 97212-5405. NPI Number 1033115704 has the healthcare provider type.

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1245643295 NPI number is provided on an as is basis without warranty of any kind. 1245643295 is maintained by the National Plan & Provider Enumeration System. The contents of Patrick Welly, Lmft are for informational purposes only.