Individual
DR. PATRICK ETHEL-KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1675 SW MARLOW AVE, STE. 301, PORTLAND, OR 97225-5104
(503) 352-0240
(503) 352-0242
Mailing address
1675 SW MARLOW AVE, STE. 301, PORTLAND, OR 97225-5104
(503) 352-0240
(503) 352-0242
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1615
OR
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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