Patterson, James M
Patterson, James M is an individual health care provider with primary practice located at 119 E 2Nd St #208, The Dalles OR 97058-1796. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Patterson, James M can be contacted via phone (541) 298-5000.Contact Information
Primary practice address
119 E 2Nd St #208
The Dalles OR 97058-1796
Phone: (541) 298-5000
Fax: (541) 296-3296
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 02 07 45 | Oregon |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | L2986 | Oregon |
Profile Details
| NPI number | 1003974395 |
|---|---|
| LBN Legal business name | Patterson, James M |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 5th, 2006 |
| Last updated | Feb 6th, 2009 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003974395 | NPPES |
| Oregon | MEDICAID | 02 07 45 | |
| Oregon | MEDICAID | 139670 |
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