Individual
LINDA PATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10564 SE WASHINGTON ST, PORTLAND, OR 97216-2809
(503) 228-9229
Mailing address
2208 NE SISKIYOU ST, PORTLAND, OR 97212-2469
(301) 524-5588
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18-R-30
OR
101YM0800X
Mental Health Counselor
LH60890612
WA
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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