Individual
LINDA PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1334 NE 108TH AVE APT 10, PORTLAND, OR 97220-3076
(503) 490-4708
Mailing address
125 NE 102ND AVE, PORTLAND, OR 97220-4166
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LG900T7T
OREGON HEALTH SHARE
—
Enumeration date
12/24/2019
Last updated
12/24/2019
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