Connie Eldridge-Pederson, Phd, Pc

LBN: Connie Eldridge-Pederson, Phd, Pc
Connie Eldridge-Pederson, Phd, Pc is an health care organization with primary practice located at 1611 Ne 16Th Ave , Portland OR 97232-1413. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Connie Eldridge-Pederson, Phd, Pc can be contacted via phone (503) 287-4426, or through Eldridge-Pederson, Connie via phone (503) 287-4426.

Contact Information

Primary practice address
1611 Ne 16Th Ave Portland OR 97232-1413
Phone: (503) 287-4426
Fax: (503) 284-6051
Website:
Map and Directions
Authorized official contact:
Name: Eldridge-Pederson, Connie PHD
Phone: (503) 287-4426

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 1070 Oregon

Profile Details

NPI number 1740420603
LBN Legal business name Connie Eldridge-Pederson, Phd, Pc
DBA Doing business as
Authorized official Eldridge-Pederson, Connie PHD
Entity Organization
Organization subpart 1 No
Enumeration date Mar 4th, 2009
Last updated Mar 17th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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