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Contact Information

LUKE E PATRICK, PhD
12250 SW GARDEN PL
PORTLAND, OR97223-8246
 Phone: 503-684-7246
 Fax: 503-624-0724
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Exercise & Sports

103TE1100X 62 Psychologist, Clinical
 

Health Service

103TH0100X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LUKE E PATRICK · (Male)

NPI # 1821025495
Status Active
Credentials PhD
Entity Individual
Enumeration date 06/27/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • OR License # 1491
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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