Individual
MR. PATRICK RYAN ESPOSITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC I
Contact information
Practice address
3700 MIDWAY, BAKER CITY, OR 97814-1456
(541) 523-8320
(541) 523-8325
Mailing address
3425 13TH ST, BAKER CITY, OR 97814-1340
(541) 523-7400
(541) 523-4927
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
19-07-25
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
22-10-20209
OR
101YM0800X
Mental Health Counselor
22-QMHA-I-003463
OR
172V00000X
Community Health Worker
THW000107060
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500776461
—
OR
Enumeration date
02/13/2020
Last updated
04/08/2024
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