Individual
DR. LUKE E. PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
12250 SW GARDEN PL, PORTLAND, OR 97223-8246
(503) 684-7246
(503) 624-0724
Mailing address
5739 SW TEXAS ST, PORTLAND, OR 97219-1257
(503) 452-4179
Taxonomy
Speciality
Code
Description
License number
State
103TE1100X
Exercise & Sports Psychologist
Primary
1491
OR
103TH0100X
Health Service Psychologist
1491
OR
Other
Enumeration date
06/27/2006
Last updated
09/11/2025
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