Individual
PATRICIA IVIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2480 NE TWIN KNOLLS DR, BEND, OR 97701-6833
(503) 234-9591
Mailing address
3415 SE POWELL BLVD, PORTLAND, OR 97202-3371
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C7982
OR
Other
Enumeration date
08/03/2020
Last updated
03/22/2024
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