Organization
PATRICK WELLY, LMFT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK MATTHEW WELLY MA (PSYCHOTHERAPIST)
(503) 249-9997
Entity
Organization
Contact information
Practice address
2106 NE 40TH AVE, PORTLAND, OR 97212-5405
(503) 249-9997
Mailing address
2106 NE 40TH AVE, PORTLAND, OR 97212-5405
(503) 249-9997
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
T0371
OR
Other
Enumeration date
06/07/2014
Last updated
06/07/2014
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