Organization
CONNIE ELDRIDGE-PEDERSON, PHD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONNIE ELDRIDGE-PEDERSON PHD (PRESIDENT)
(503) 287-4426
Entity
Organization
Contact information
Practice address
1611 NE 16TH AVE, PORTLAND, OR 97232-1413
(503) 287-4426
(503) 284-6051
Mailing address
1611 NE 16TH AVE, PORTLAND, OR 97232-1413
(503) 287-4426
(503) 284-6051
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1070
OR
Other
Enumeration date
03/04/2009
Last updated
03/17/2009
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