Patrick G Eagle Staff, PWS/QMHP-C - Counselor in Portland, OR

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Patrick G Eagle Staff, PWS/QMHP-C is a Peer Specialist based in Portland, Oregon. Patrick G Eagle Staff is licensed to practice in Oregon (license number THW0002219) and his current practice location is 1310 Sw 17th Ave, Portland, Oregon. He can be reached at his office (for appointments etc.) via phone at (503) 231-2641.

NPI number for Patrick G Eagle Staff is 1316477441 and his current mailing address is 1776 Sw Madison St, Portland, Oregon. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1316477441.

Contact Information

Patrick G Eagle Staff, PWS/QMHP-C
1310 Sw 17th Ave,
Portland, OR 97201-2522
(503) 231-2641
(503) 467-4077

Map and Direction


Healthcare Provider's Profile

Full NamePatrick G Eagle Staff
GenderMale
SpecialityPeer Specialist
Location1310 Sw 17th Ave, Portland, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1316477441
  • Provider Enumeration Date: 06/12/2017
  • Last Update Date: 05/24/2019

Medical Identifiers

Medical identifiers for Patrick G Eagle Staff such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316477441NPI-NPPES
500761421MedicaidOR
500733968MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 19-QMHPC-00380 (Oregon)Secondary
175T00000XPeer Specialist THW0002219 (Oregon)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Patrick G Eagle Staff is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Patrick G Eagle Staff, PWS/QMHP-C
1776 Sw Madison St,
Portland, OR 97205-1715

Ph: (971) 386-2278		Patrick G Eagle Staff, PWS/QMHP-C
1310 Sw 17th Ave,
Portland, OR 97201-2522

Ph: (503) 231-2641

Reviews and Comments


Peer Specialist in Portland, OR


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.