Individual
PATRICK JAMES CHEATHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
7931 NE HALSEY ST STE 202, PORTLAND, OR 97213-6700
(971) 277-9984
Mailing address
7931 NE HALSEY ST STE 202, PORTLAND, OR 97213-6700
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2908
OR
Other
Enumeration date
06/05/2008
Last updated
08/30/2022
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