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Individual

JAMES M PATTERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
119 E 2ND ST, #208, THE DALLES, OR 97058-1796
(541) 298-5000
(541) 296-3296
Mailing address
PO BOX 1688, HOOD RIVER, OR 97031-0688
(541) 298-5000
(541) 296-3296

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
02 07 45
OR
1041C0700X
Clinical Social Worker
Primary
L2986
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02 07 45
OR
05
139670
OR
Enumeration date
12/05/2006
Last updated
02/06/2009
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